RAEANN MAE DAVIDSON (NPI# 1235789561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235789561 |
| Entity Type | Individual |
| Full Name | RAEANN MAE DAVIDSON |
| Practice Address |
304 E Washington Ave Medicine Lodge KS 67104-1425 |
| Practice Telephone | 6202131193 |
| Mailing Telephone | 6202131193 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
304 E WASHINGTON AVE |
| City | MEDICINE LODGE |
| State | KS |
| Zip Code | 67104-1425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720132715 | Maydew Thibault Optometry LLC | Optometrist | 604 N Walnut, Medicine Lodge, KS 67104 | 2007-01-23 |
| 1609200682 | Freeman Pharmacy LLC | Pharmacy | 126 N Main St, Medicine Lodge, KS 67104 | 2013-08-27 |
| 1013004225 | J C H Consulting Inc | Durable Medical Equipment & Medical Supplies | 126 N Main St, Medicine Lodge, KS 67104 | 2006-10-07 |
| 1407887193 | Medicine Lodge Memorial Hospital | General Acute Care Hospital | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2006-07-05 |
| 1750437463 | Medicine Lodge Community Health Foundation | Respite Care | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2007-01-26 |
| 1831208701 | Medicine Lodge Memorial Hospital Physicians Clinc | Clinic/Center | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2006-08-30 |
| 1902822075 | Medicine Lodge Memorial Hospital | Clinic/Center | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2006-07-14 |
| 1285669929 | Medicine Lodge Memorial Hospital | Clinic/Center | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2006-07-11 |
| 1114952975 | Medicine Lodge Memorial Hospital | Medicare Defined Swing Bed Unit | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2006-07-11 |
| 1083702369 | Medicine Lodge Memorial Hospital | Clinic/Center | 710 N. Walnut St., Drawer 'c', Medicine Lodge, KS 67104-1019 | 2006-10-11 |
| Find all providers in zip 67104 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231102 | Dorothy Jean Duensing-herrs | Technician | 407 6th St, Linn, KS 66953-9013 | 2020-09-24 |
| 1871106740 | Stevie Jonae Metts | Technician | 1207 E Del Mar St, Wichita, KS 67216-1535 | 2020-08-28 |
| 1174166870 | Diane Lorraine Anderson-morris | Technician | 14097 Huntington Ln, Leavenworth, KS 66048-7288 | 2019-10-25 |
| 1316589641 | Kathleen E Lust | Technician | 3420 Pin Oak Dr, St. George, KS 66535 | 2019-10-08 |
| 1841841160 | Jo Ann Staley | Technician | 12477 S Ellsworth St, Olathe, KS 66062-4970 | 2019-09-27 |
| 1013568039 | Sandra D Clark | Technician | 718 W 14th St, Junction City, KS 66441-2129 | 2019-09-20 |
| 1871143230 | Barry Oden | Technician | 305 Brown A Ve, Osawatomie, KS 66064 | 2019-09-18 |
| 1144870619 | Diane Delois Taylor | Technician | 3619 Sw Kirklawn Ave, Topeka, KS 66611 | 2019-09-17 |
| 1598314700 | Teressa Ann Williams | Technician | 24089 J Ter, Wakeeney, KS 67672-2719 | 2019-09-10 |
| 1841849197 | Bonnie May O'neal | Technician | 614 N Brownthrush Ln, Wichita, KS 67212-3413 | 2019-09-10 |
| Find all providers with the same taxonomy | ||||
| City | MEDICINE LODGE |
| Zip Code | 67104 |
Please comment or provide details below to improve the information on RAEANN MAE DAVIDSON.
| 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.