COREY A DAVIS (NPI# 1285071399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285071399 |
| Entity Type | Individual |
| Full Name | COREY A DAVIS |
| Credential | CFNP |
| Practice Address |
2912 Springboro Rd Suite 201 Moraine OH 45439-1674 |
| Mailing Address |
4611 Laura Marie Dr Waynesville OH 45068-8944 |
| Practice Telephone | 9374381115 |
| Practice Fax Number | 9374381291 |
| Mailing Telephone | 9372861651 |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA .14495 NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | BCBS OH | 000000820224 | 01 |
| OH | 0084911 | 05 | |
| OH | AETNA | 05299801 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609312636 | Corey M Davis | Home Health Aide | 806 Hoorne Ave, Colorado Springs, CO 80907-3932 | 2017-01-14 |
| 1093956674 | Corey Lee Davis | Physical Therapist | 196 Westchester Way, Battle Creek, MI 49015-8691 | 2009-03-11 |
| 1245726280 | Corey Molzon Davis | Psychologist | 1400 Front Ave Ste 305, Timonium, MD 21093-5364 | 2018-07-02 |
| 1922512870 | Corey Ahmad Davis Sr. | Rehabilitation Practitioner | 8615 Isla Vista Valley Ct, Las Vegas, NV 89178-7521 | 2017-11-29 |
| 1952603649 | Corey Lamonn Davis | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2010-12-01 |
| Street Address |
2912 SPRINGBORO RD SUITE 201 |
| City | MORAINE |
| State | OH |
| Zip Code | 45439-1674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982702213 | Paula A Kimpton | Nurse Practitioner | 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 | 2006-09-20 |
| 1659726768 | Providence Medical Group, Inc. | Radiology | 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 | 2016-04-26 |
| 1811304595 | Providence Medical Group | Podiatrist | 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 | 2014-07-15 |
| 1689916744 | Tina M Garland | Nurse Practitioner | 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 | 2013-03-26 |
| 1912261744 | Providence Health Partners | Clinic/Center | 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 | 2012-06-26 |
| 1972886943 | Jacqueline June Davis | Nurse Practitioner | 2912 Springboro Rd, Moraine, OH 45439-1674 | 2011-09-26 |
| 1487956264 | Danielle Renee Little | Nurse Practitioner | 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 | 2010-11-29 |
| 1598092710 | Lisa A Rhodes | Nurse Practitioner | 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 | 2009-11-09 |
| 1699831693 | Terren Burgess Koles | General Practice | 2912 Springboro Rd, Suite, Moraine, OH 45439-1674 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455260 | Joseph Michael Meacham | Counselor | 3059 Kettering Blvd., Moraine, OH 45439 | 2020-04-02 |
| 1932673597 | Sabrina M Nichols | Behavior Technician | 5290 Cobblegate Drive, Moraine, OH 45439 | 2019-01-17 |
| 1013406040 | Chevelle Antionette Bennett | Licensed Practical Nurse | 4964 Springboco Pk, Mocaine, OH 45439 | 2018-05-04 |
| 1205332418 | Vincent A Mcbride | Case Manager/Care Coordinator | 3350 South Kettering Blvd, Moraine, OH 45439 | 2018-04-05 |
| 1124532635 | Rodescu Macklin | Counselor | 200 Daruma Parkway, Moraine, OH 45439 | 2017-11-20 |
| 1194248872 | Blu Diamond Home Care LLC | Home Health | 3481 Office Park Drive, Suite 12d, Dayton, OH 45439 | 2017-07-25 |
| 1003342692 | Chadonn Cummings | Social Worker | 3905 Kettering Blvd, Moriane, OH 45439 | 2017-05-03 |
| 1962959098 | Jessica Woody | Counselor | 3011kettering Blvd, Suite 311, Moraine, OH 45439 | 2016-09-07 |
| 1427409309 | Aida E Scanlon | Physician Assistant | 3445 S Dixie Dr, Moraine, OH 45439 | 2016-06-22 |
| 1881048908 | Judith Crum | Counselor | 4983 Joyce Dr., Dayton, OH 45439 | 2016-04-14 |
| Find all providers in zip 45439 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801427497 | Janice Kennedy | Nurse Practitioner | 1102 Red Oak Ct, Moraine, OH 45439-2772 | 2020-02-01 |
| 1982702213 | Paula A Kimpton | Nurse Practitioner | 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 | 2006-09-20 |
| 1225649619 | Lori Ann Morgan | Nurse Practitioner | 2921 W Alex Bell Rd, Moraine, OH 45459-1127 | 2020-08-11 |
| 1639550981 | Emily Freimuth | Nurse Practitioner | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2015-06-12 |
| 1689916744 | Tina M Garland | Nurse Practitioner | 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 | 2013-03-26 |
| 1518239144 | Dorcas Mary Siyanata | Nurse Practitioner | 3033 Kettering Blvd Ste 100, Moraine, OH 45439-1948 | 2012-01-27 |
| 1972886943 | Jacqueline June Davis | Nurse Practitioner | 2912 Springboro Rd, Moraine, OH 45439-1674 | 2011-09-26 |
| 1487956264 | Danielle Renee Little | Nurse Practitioner | 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 | 2010-11-29 |
| 1598092710 | Lisa A Rhodes | Nurse Practitioner | 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 | 2009-11-09 |
| 1891029252 | James David See | Nurse Practitioner | 3033 Kettering Blvd Ste 100, Moraine, OH 45439-1948 | 2009-10-01 |
| Find all providers in MORAINE | ||||
Please comment or provide details below to improve the information on COREY A 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.