KELLIE DAVIDSON (NPI# 1306297601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306297601 |
| Entity Type | Individual |
| Full Name | KELLIE DAVIDSON |
| Credential | LVN |
| Practice Address |
2121 Lavender Ct San Jacinto CA 92582-3716 |
| Practice Telephone | 2486135082 |
| Mailing Telephone | 2486135082 |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2020-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 684225 | CA | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 39323 Via Zaragoza, Murrieta, CA 92563 | 2486135082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245554864 | Kellie S Davidson | Physical Therapist | 420 S Fulton St, Butler, MO 64730-2058 | 2010-03-25 |
| 1013195692 | Kellie Anne Davidson | Audiologist-Hearing Aid Fitter | 2920 N Green Valley Pkwy, Bldg 3 Suite 321, Henderson, NV 89014-0406 | 2008-02-05 |
| Street Address |
2121 LAVENDER CT |
| City | SAN JACINTO |
| State | CA |
| Zip Code | 92582-3716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538597075 | Katie L Jansen | Licensed Practical Nurse | 2121 Lavender Ct, San Jacinto, CA 92582-3716 | 2013-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568000339 | Wenda Renee Wilson Doby | Chore Provider | 1903 Glow Pointe, San Jacinto, CA 92582 | 2019-12-12 |
| 1477823763 | Sean Yu | Pharmacist | 2261 W. Esplanade Ave, San Jacinto, CA 92582 | 2012-01-04 |
| 1528345451 | Charles K Ngethe | Licensed Vocational Nurse | 2883 Pansy Way, San Jacinto, CA 92582 | 2011-11-06 |
| 1801078290 | George Kyriopoulos | Chiropractor | 711 W Eslplanade, Suite B, San Jacinto, CA 92582 | 2007-11-28 |
| 1275734915 | Linda Christine Moya | Counselor | 950 Ramona Blvd, Ste 2, San Jacinto, CA 92582 | 2007-05-30 |
| 1174655906 | Scott Alan Mcclung | Marriage & Family Therapist | 950 N Ramona Blv, #2, San Jacinto, CA 92582 | 2007-03-09 |
| 1992890305 | Valley Wide Recreation & Park District | Substance Abuse Rehabilitation Facility | 901 W. Esplanade Ave., San Jacinto, CA 92582 | 2006-10-03 |
| 1225513898 | Jane Waweru | Licensed Vocational Nurse | 2883 Pansy Way, San Jacinto, CA 92582 | 2018-09-30 |
| 1568943918 | Charlene Cheng | Counselor | 14700 Manzanita Park Rd, Beaumont, CA 92582 | 2018-08-23 |
| 1659738813 | Riverside County Department of Mental Health | Community/Behavioral Health | 950 Ramona Blvd, Suite 2, San Jacinto, CA 92582 | 2016-01-19 |
| Find all providers in zip 92582 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528345451 | Charles K Ngethe | Licensed Vocational Nurse | 2883 Pansy Way, San Jacinto, CA 92582 | 2011-11-06 |
| 1427221399 | Anthony Mcguire | Licensed Vocational Nurse | 1239 Longbranch Rd, San Jacinto, CA 92582-4239 | 2008-04-10 |
| 1245794510 | Melissa Ann Miller | Licensed Vocational Nurse | 2220 Girard St, San Jacinto, CA 92583-5301 | 2019-01-30 |
| 1225513898 | Jane Waweru | Licensed Vocational Nurse | 2883 Pansy Way, San Jacinto, CA 92582 | 2018-09-30 |
| 1578043105 | Diana H Trujillo | Licensed Vocational Nurse | 2220 Girard St, San Jacinto, CA 92583-5301 | 2018-08-14 |
| 1922539733 | Pandit Mcfarland | Licensed Vocational Nurse | 102 W Main St, San Jacinto, CA 92583-4121 | 2017-03-23 |
| 1497168959 | Khea Gray | Licensed Vocational Nurse | 102 W Main St, San Jacinto, CA 92583-4121 | 2014-06-03 |
| 1154741684 | Tami Bailey | Licensed Vocational Nurse | 102 W Main St, San Jacinto, CA 92583-4121 | 2014-04-23 |
| 1447595426 | Susan Joanne Turner | Licensed Vocational Nurse | 102 W Main St, San Jacinto, CA 92583-4121 | 2012-12-03 |
| 1285826529 | Don Cox II | Licensed Vocational Nurse | 102 W Main St, San Jacinto, CA 92583-4121 | 2007-08-10 |
| Find all providers in SAN JACINTO | ||||
| City | SAN JACINTO |
| Zip Code | 92582 |
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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.