MRS. WHITNEY DIANE DAVIS (NPI# 1265594618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265594618 |
| Entity Type | Individual |
| Full Name | MRS. WHITNEY DIANE DAVIS |
| Other Name | WHITNEY D. BARTLETT |
| Credential | PA-C |
| Practice Address |
2514 Wesley St Ste 102 Johnson City TN 37601-1764 |
| Practice Telephone | 4232822700 |
| Practice Fax Number | 4232822802 |
| Mailing Telephone | 4232822700 |
| Mailing Fax Number | 4232822802 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2016-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA0000002497 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | DEA | MB1492812 | 01 |
| TN | 1265594618 | 05 | |
| NC | NC PA LICENSE INACTIVE | 0010-00630 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033727193 | Whitney Janeen Davis | Social Worker | 2580 N Rancho Dr Ste 106, Las Vegas, NV 89130-3361 | 2020-07-15 |
| 1770147316 | Whitney Davis | Behavior Technician | 1111 S 1350 W Bldg B, Orem, UT 84058-3817 | 2019-04-29 |
| 1841625969 | Whitney Renee Davis | Occupational Therapist | 751 Bassett Dr, Chambersburg, PA 17201-1723 | 2013-09-09 |
| 1093998668 | Whitney J Davis | Counselor | 417 E Silas St, Bartlesville, OK 74003-3611 | 2007-12-06 |
| 1023622842 | Whitney Morgan Davis | Community Health Worker | 8915 Harry Hines Blvd, Dallas, TX 75235-1717 | 2020-08-31 |
| 1629691829 | Whitney N Davis | Behavior Technician | 1233 Eagles Landing Pkwy Ste A&b, Stockbridge, GA 30281-6399 | 2020-05-21 |
| 1093354110 | Whitney Elnora Davis | Pharmacist | 3400 Grant Line Rd, New Albany, IN 47150-2135 | 2020-01-06 |
| 1366094633 | Whitney Danielle Davis | Licensed Vocational Nurse | 8001 S Us Highway 75, Sherman, TX 75090-5707 | 2019-07-16 |
| 1447717640 | Whitney Fay Davis | Nurse Practitioner | 1200 N Elm St, Greensboro, NC 27401-1004 | 2019-02-23 |
| 1447726286 | Whitney Davis | Counselor | 1547 Parkway, Greenwood, SC 29646-4081 | 2018-10-19 |
| Street Address |
2514 WESLEY ST STE 102 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-1764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417192741 | Angle Renee Buckles | Nurse Practitioner | 2514 Wesley St Ste 102, Johnson City, TN 37601-1764 | 2008-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616590 | Brenda L Rankhorn | Physician Assistant | 402 Brookwood Dr, Johnson City, TN 37615-4924 | 2020-07-09 |
| 1336706183 | Andrew Thomas Rogers | Physician Assistant | 401 E Watauga Ave, Johnson City, TN 37601-4036 | 2019-05-28 |
| 1750859831 | Bethany Marie Zakrzewski | Physician Assistant | 410 N State of Franklin Rd Ste 120, Johnson City, TN 37604-6972 | 2018-11-07 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1417453440 | Blue Ridge Medical Management Corpoartion | Physician Assistant | 701 Med Tech Pkwy Ste 300, Johnson City, TN 37604-2365 | 2018-03-30 |
| 1083082838 | Amber Dykes | Physician Assistant | 119 Boone Ridge Dr Ste 201, Johnson City, TN 37615-8000 | 2015-09-10 |
| 1720336712 | Amy C Flint | Physician Assistant | 303 Med Tech Pkwy Ste 150, Johnson City, TN 37604-2394 | 2012-08-22 |
| 1568779155 | Tracy Mcwhorter Martino | Physician Assistant | 3 Professional Park Dr Ste 21, Johnson City, TN 37604-6529 | 2010-09-03 |
| 1932430741 | Lisa M Adams | Physician Assistant | 1301 Sunset Drive, Suite 3, Johnson City, TN 37604 | 2010-01-18 |
| 1528167251 | Kimberly S Belke | Physician Assistant | 240 Riverside Dr., Johnson City, NY 13790-2732 | 2006-09-21 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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| 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.