SHELLEY LEILANI DAVIS (NPI# 1235568742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235568742 |
| Entity Type | Individual |
| Full Name | SHELLEY LEILANI DAVIS |
| Credential | P.A.-C |
| Practice Address |
3614 Washington Pkwy Idaho Falls ID 83404-7573 |
| Practice Telephone | 2085527700 |
| Practice Fax Number | 2085521786 |
| Mailing Telephone | 2085527700 |
| Mailing Fax Number | 2085521786 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
TLP-014 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659879237 | Shelley Davis | Nurse Practitioner | 3104 Mystic Falls Dr, Jacksonville, FL 32224-4887 | 2018-01-29 |
| 1558960625 | Shelley Davis | Pharmacist | 9080 Taylorsville Rd, Louisville, KY 40299-1750 | 2020-10-20 |
| 1992357305 | Shelley Moore Davis | Occupational Therapist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2019-07-15 |
| 1144795212 | Shelley Nichole Davis | Pharmacist | 1810 Tift Ave N, Tifton, GA 31794-3542 | 2018-10-04 |
| 1972089183 | Shelley Davis | Occupational Therapist | 844 N Ellsworth Rd, Mesa, AZ 85207-5114 | 2018-07-11 |
| 1467971945 | Shelley Davis | Speech-Language Pathologist | 1809 Precinct Line Rd, Hurst, TX 76054-3132 | 2017-09-15 |
| 1063826881 | Shelley Davis | Social Worker | 250 S Henry St, Delaware, OH 43015-2978 | 2014-06-19 |
| 1275971558 | Shelley Anne Davis | Counselor | 106 E Elm St, Gainesville, TX 76240-4008 | 2013-06-10 |
| 1427296334 | Shelley Elaine Davis | Social Worker | 100 Corner of Sidney & Lamont, Building 200, Mountain Home, TN 37684 | 2009-01-30 |
| 1932155728 | Shelley S Davis | Nurse Anesthetist, Certified Registered | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2006-05-25 |
| Street Address |
3614 WASHINGTON PKWY |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386743862 | David Dean Buys | Physician Assistant | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2006-09-21 |
| 1003461401 | Noah Bernal | Physical Medicine & Rehabilitation | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2019-08-03 |
| 1073032413 | Bmh Inc. | Pain Medicine | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2017-09-18 |
| 1235594177 | Melissa Ilene Kelly | Nurse Practitioner | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2015-12-18 |
| 1518369487 | K'lynda Snarr | Physician Assistant | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2014-09-22 |
| 1871823245 | Flint R Packer Do PC | Family Medicine | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2010-01-07 |
| 1780871392 | Boyd K Southwick | Family Medicine | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2007-09-27 |
| 1295921484 | Tyson Craig Parker | Physician Assistant | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2007-09-20 |
| 1033314273 | Family First Medical Center, Pllc | Family Medicine | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2007-06-18 |
| 1578613337 | Boyd K Southwick | Family Medicine | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386743862 | David Dean Buys | Physician Assistant | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2006-09-21 |
| 1316910797 | Stephanie Morgan | Physician Assistant | 1660 John Adams Pkwy, Idaho Falls, ID 83401-4360 | 2006-02-08 |
| 1386626463 | Wade K Christensen | Physician Assistant | 1880 John Adams Pkwy, Idaho Falls, ID 83401-4315 | 2005-11-15 |
| 1851396519 | Jamie L Carter | Physician Assistant | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2005-06-17 |
| 1609492347 | Jason T Rinker | Physician Assistant | 1995 E 17th St, Idaho Falls, ID 83404-6493 | 2020-06-18 |
| 1821645870 | Benjamin J Atwood | Physician Assistant | 3446 S 15th E, Idaho Falls, ID 83404-8262 | 2019-08-23 |
| 1134647019 | Randall James Law | Physician Assistant | 1995 E 17th St, Idaho Falls, ID 83404-6493 | 2017-08-31 |
| 1144772237 | Alyssa Jenkins | Physician Assistant | 3820 Crestwood Ln, Idaho Falls, ID 83404 | 2016-10-25 |
| 1093103699 | Tara Powell | Physician Assistant | 2730 Channing Way, Idaho Falls, ID 83404-5049 | 2015-01-05 |
| 1760724744 | Kody Kurtis Tew | Physician Assistant | 2088 E 25th St, Idaho Falls, ID 83404-6490 | 2013-03-18 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on SHELLEY LEILANI DAVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.