SHANTA KATICE DAVIS (NPI# 1295344562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295344562 |
| Entity Type | Individual |
| Full Name | SHANTA KATICE DAVIS |
| Credential | APRN |
| Practice Address |
1050 17th St S Saint Petersburg FL 33712-2418 |
| Practice Telephone | 7277418475 |
| Mailing Telephone | 7277418475 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
11008236 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1050 17TH ST S |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33712-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663616 | Courtney Nicole West | Community Health Worker | 2335 22nd Ave S # 4, Saint Petersburg, FL 33712 | 2019-01-15 |
| 1053820266 | Tameka Flowers | Nurse Practitioner | 1719 Dayton Street South, Saint Petersburg, FL 33712 | 2017-09-20 |
| 1871030445 | Telesa Andrea Reddick | Specialist | 1407 22nd Street South, St Pete, FL 33712 | 2017-01-20 |
| 1104286715 | Touched By Faith Inc | Community/Behavioral Health | 2600 4th St, Saint Petersburg, FL 33712 | 2016-02-25 |
| 1457758476 | Chris Wendling | Pharmacist | 2620 Desoto Way S, St Petersburg, FL 33712 | 2014-11-20 |
| 1700217239 | Crystal Eva | Adult Companion | 2132 68th Ter S, St Petersburg, FL 33712 | 2013-12-10 |
| 1144598152 | Tien Minh Tran | Pharmacist | 3350 Central Avenue, St Petersburg, FL 33712 | 2011-12-05 |
| 1588947410 | Aru Richardson | Counselor | 555 31st Street South, Saint Petersburg, FL 33712 | 2011-09-27 |
| 1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
| 1225216260 | Charlie Waller Colquitt | Pharmacist | 1344 22nd St So, St Petersburg, FL 33712 | 2008-02-01 |
| Find all providers in zip 33712 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928612 | Haili Harless | Nurse Practitioner | 3961 23rd Ave N, Saint Petersburg, FL 33713-4850 | 2020-10-07 |
| 1801206719 | Dawn Marie Rodrigues | Nurse Practitioner | 2191 9th Av N#220, Saint Petersburg, FL 33713 | 2014-04-30 |
| 1356762413 | Joanne Beaudet | Nurse Practitioner | 1220 Monterey Blvd Ne, Saint Petersburg, FL 33704-2314 | 2013-12-17 |
| 1356624274 | Thomas Daniel Conway | Nurse Practitioner | 339 79th Ave Ne, Saint Petersburg, FL 33702-4425 | 2011-09-27 |
| 1134261779 | Yong Sue O'donnell | Nurse Practitioner | 6000 49th Street North, Northside Hospital and Tampa Bay Heart Institute, Saint Petersburg, FL 33709 | 2007-02-12 |
| 1598305062 | Kelli Lynne Earle | Nurse Practitioner | 5959 Central Ave Ste 103, Saint Petersburg, FL 33710-8502 | 2020-01-13 |
| 1568021384 | Latoya Nichole Rourk | Nurse Practitioner | 33 6th St S, Saint Petersburg, FL 33701-4153 | 2019-06-06 |
| 1710401443 | Kathleen Ryanne Howe | Nurse Practitioner | 1200 7th Ave N, Saint Petersburg, FL 33705-1300 | 2017-08-03 |
| 1184162489 | Natasha Blanco | Nurse Practitioner | 7500 4th St N, Saint Petersburg, FL 33702-5400 | 2017-02-07 |
| 1942622774 | Daisy Mailhot | Nurse Practitioner | 205 Dr Martin Luther King Jr St N, Saint Petersburg, FL 33701-3109 | 2014-01-14 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33712 |
Please comment or provide details below to improve the information on SHANTA KATICE 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.