KATRINA DAVIS (NPI# 1275175879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275175879 |
| Entity Type | Individual |
| Full Name | KATRINA DAVIS |
| Practice Address |
1723 Upper Mann Creek Rd Weiser ID 83672-5551 |
| Practice Telephone | 5412166611 |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831586924 | Katrina Lenae Davis | Licensed Practical Nurse | 17341 Kentfield St, Detroit, MI 48219-3425 | 2015-04-16 |
| 1447698154 | Katrina Davis | Licensed Practical Nurse | 1401 Lee St, Midland, MI 48642-6596 | 2013-06-05 |
| 1730346487 | Katrina Davis | Counselor | 1703 Grant St, # 1, Yakima, WA 98902-5280 | 2008-05-20 |
| 1619074184 | Katrina Davis | Case Manager/Care Coordinator | 1239 E Main Street, Bartow, FL 33830 | 2006-09-19 |
| 1457993362 | Katrina Elise Davis | Physician Assistant | 102-01 66th Rd, Forest Hills, NY 11375 | 2019-10-11 |
| 1205311792 | Katrina Davis | Nurse Practitioner | 201 N Church St, Medical Dept, Winston Salem, NC 27101 | 2018-10-01 |
| 1164872560 | Katrina Davis | Licensed Vocational Nurse | 4099 Mcewen Rd, 200, Farmers Branch, TX 75244-5030 | 2016-06-16 |
| 1992168660 | Katrina Davis | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2016-03-31 |
| 1063544930 | Katrina Ellen Davis | Nurse Practitioner | 891 23rd St Ne, Salem, OR 97301 | 2007-03-09 |
| 1306936893 | Katrina Davis | Obstetrics & Gynecology | 2439 Bee Ridge Rd, Sarasota, FL 34239-6304 | 2006-10-13 |
| Street Address |
1723 UPPER MANN CREEK RD |
| City | WEISER |
| State | ID |
| Zip Code | 83672-5551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891176798 | Christine Cooper | Nurse Practitioner | 35 W Idaho St, Weiser, ID 83672 | 2015-06-16 |
| 1356630941 | Jordan V Blanchard | Family Medicine | 360 E. Liberty, Weiser, ID 83672 | 2011-04-04 |
| 1427038231 | Christopher Earl Malloy | Dentist | 1067 Hwy 95, Weiser, ID 83672 | 2006-01-18 |
| 1457508418 | Christy Earlean Marvin | Home Health Aide | 1111 E Main St, Weiser, ID 83672 | 2008-08-21 |
| 1255364030 | Weiser Valley Hospital District | Orthopaedic Surgery | 645 E. 5th St., Weiser, ID 83672 | 2006-07-07 |
| 1568685543 | Weiser School District #431 | Specialist | 925 Pioneer Rd, Weiser, ID 83672-1146 | 2007-04-10 |
| 1275147712 | Madison Caldwell | Counselor | 925 Pioneer Rd, Weiser, ID 83672-1146 | 2020-09-02 |
| 1588108872 | Laura Haun | Specialist/Technologist | 275 Mcginnis Dr, Weiser, ID 83672-1262 | 2016-12-06 |
| 1073537486 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 1545 E 6th St, Weiser, ID 83672-1495 | 2006-07-27 |
| 1164047635 | Bridget Moore | Pharmacy Technician | 1545 E 6th St, Weiser, ID 83672-1495 | 2020-06-10 |
| Find all providers in zip 83672 | ||||
| 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 |
|---|---|---|---|---|
| 1780222190 | Joshua Carl Stephenson | Technician | 30 Maple Dr, Weiser, ID 83672-1566 | 2019-12-16 |
| 1891345641 | Brandi H Hudson | Technician | 30 Maple Dr, Weiser, ID 83672-1566 | 2019-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356612 | Golden Hour Care Services, LLC | Technician | 3185 S Apple St Apt 104, Boise, ID 83706-6823 | 2020-11-04 |
| 1275184897 | Carol Jo Jenks | Technician | 838 Vay Rd, Priest River, ID 83856-7768 | 2019-09-25 |
| 1578112165 | Sally S Asker | Technician | 8125 S Legolas Pl, Boise, ID 83709-7388 | 2019-09-06 |
| 1982253662 | Catherine A Ballard | Technician | 3540 Wills Rd, Emmett, ID 83617-9440 | 2019-09-05 |
| 1497302715 | Jennifer Bowen | Technician | 263 Indian Creek Rd, Hailey, ID 83333-8493 | 2019-08-21 |
| 1194370023 | Kathryn Lorraine Huskey | Technician | 2421 Hague Rd, Midvale, ID 83645-5111 | 2019-08-07 |
| 1366097362 | Ann-toy Ellsworth Broughton | Technician | 10570 Rammell Mountain Rd, Tetonia, ID 83452-4971 | 2019-08-06 |
Please comment or provide details below to improve the information on KATRINA 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.