STACY DAVIS (NPI# 1275938391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275938391 |
| Entity Type | Individual |
| Full Name | STACY DAVIS |
| Credential | IBCLC |
| Practice Address |
14210 Glenwood St Detroit MI 48205-2829 |
| Practice Telephone | 3139224818 |
| Practice Fax Number | 2488099888 |
| Mailing Telephone | 3139224818 |
| Mailing Fax Number | 2488099888 |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L-56572 | MI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205321833 | Stacy Davis | Specialist/Technologist | 10400 E Passkey Dr, Tucson, AZ 85748-3850 | 2018-06-26 |
| 1487168670 | Stacy Nichole Davis | Counselor | 78 Rogers St, Lebanon, VA 24266 | 2017-11-27 |
| 1912457136 | Stacy Davis | Occupational Therapist | 510 Hempstead 173w, Hope, AR 71801 | 2016-10-12 |
| 1215324405 | Stacy Bess Davis | Specialist/Technologist | 490 Bess Rd, Statesville, NC 28625-9575 | 2015-04-25 |
| 1730590712 | Stacy Davis | Nurse Practitioner | 71380 Highway 21 Ste 101, Covington, LA 70433-7245 | 2014-05-13 |
| 1538452461 | Stacy Anne Davis | Case Manager/Care Coordinator | 107 Summer Wind Pl, Brooklet, GA 30415-6090 | 2011-05-25 |
| 1417107475 | Stacy Erin Davis | Acupuncturist | 136 Cole Shopping Ctr, Cheyenne, WY 82001-5366 | 2008-09-26 |
| 1891880548 | Stacy L Davis | Optometrist | 6739 Fulton St E, Ste A-20, Ada, MI 49301-8138 | 2006-10-04 |
| 1386746378 | Stacy C. Davis | Pediatrics | 1450 Winter St, Augusta, GA 30904-4708 | 2006-09-01 |
| 1942203963 | Stacy Faith Davis | Specialist | 222 2nd Ave N, Ste 400, Nashville, TN 37201-1646 | 2005-05-23 |
| Street Address |
14210 GLENWOOD ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48205-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023405974 | Lactation Village, LLC | In Home Supportive Care | 14210 Glenwood St, Detroit, MI 48205-2829 | 2015-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593813 | Primary Healthcare Doctors LLC | Home Health | 13641 7e, Detroit, MI 48205 | 2020-03-18 |
| 1841774528 | Belief Aghoghome Emadamerho | Pharmacist | 13641 East 7 Mile Rd, Detroit, MI 48205 | 2018-09-19 |
| 1770080053 | Leonisha Langford | Licensed Practical Nurse | 16285 Eastpointe, Detroit, MI 48205 | 2018-04-12 |
| 1255856522 | Lakina Moseley | Psychologist | 19601 Crusade St, Detroit, MI 48205 | 2017-08-08 |
| 1881124907 | Shannon B Nesbitt | Licensed Practical Nurse | 20074 Strasburg, Detroit, MI 48205 | 2017-06-13 |
| 1093106155 | Lakeniya Hicks | Home Health Aide | 11270 Kennebec St, Detroit, MI 48205 | 2015-02-11 |
| 1801222005 | Anthony Bonner | Counselor | 4251 E. Mcnichols, Hamtrack, MI 48205 | 2013-09-19 |
| 1265722649 | Vip Home Help Care LLC | In Home Supportive Care | 17801 Rowe St, Deroit, MI 48205 | 2011-04-19 |
| 1588898894 | Brighten Quality Health Care | Home Health | 15031 Troester, Detroit, MI 48205 | 2009-05-14 |
| 1639372717 | Stewart Reynolds | Specialist | 1475 E. Outer Drive, Detroit, MI 48205 | 2007-06-07 |
| Find all providers in zip 48205 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477058394 | Mia Korinne Roetherford | Lactation Consultant, Non-RN | 18697 Sunderland Rd, Detroit, MI 48219-2816 | 2018-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093274060 | Ashley Pyrc | Lactation Consultant, Non-RN | 16502 Charles Town Dr, Linden, MI 48451-9185 | 2019-03-18 |
| 1407310188 | Mistel De Varona | Lactation Consultant, Non-RN | 2149 E Napier Ave, Benton Harbor, MI 49022-1846 | 2019-01-26 |
| 1710441928 | Kirsten A Sonneville-douglass | Lactation Consultant, Non-RN | 1703 Maddy Ln, Keego Harbor, MI 48320-1156 | 2019-01-22 |
| 1497252076 | Shonte' Smith | Lactation Consultant, Non-RN | 436 S Saginaw St Ste 300, Flint, MI 48502-1830 | 2018-04-10 |
| 1477079267 | Shira Johnson | Lactation Consultant, Non-RN | 4804 Cascade Rd Se, Grand Rapids, MI 49546-3721 | 2017-08-14 |
| 1275073744 | Gina Aiuto | Lactation Consultant, Non-RN | 18235 Marquette St, Roseville, MI 48066-3400 | 2017-03-03 |
| 1811436074 | Jennifer Day | Lactation Consultant, Non-RN | 26700 Emmett St, Southfield, MI 48033-3626 | 2017-02-20 |
| 1528501095 | Jalyn Spencer-harris | Lactation Consultant, Non-RN | 23228 Shoreview St, Saint Clair Shores, MI 48082-3020 | 2016-11-30 |
| 1902252778 | Susan L Denison | Lactation Consultant, Non-RN | 3228 Buchanan Ave Sw, Wyoming, MI 49548-2170 | 2016-05-10 |
| 1912353939 | Laura Mechele Casey-bir | Lactation Consultant, Non-RN | 10051 Farm Grove Ct Se, Caledonia, MI 49316-7715 | 2016-05-09 |
| Find all providers with the same taxonomy | ||||
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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.