CHARISSE DAVIS (NPI# 1306467519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306467519 |
| Entity Type | Individual |
| Full Name | CHARISSE DAVIS |
| Practice Address |
510 Main St Waynesville MO 65583-2031 |
| Practice Telephone | 5738897203 |
| Mailing Telephone | 5738898414 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | W105050002 | MO | Other Service Providers |
| N | 372600000X | Adult Companion | 134186B | MO | Nursing Service Related Providers |
| N | 374U00000X | Home Health Aide | 134186B | MO | Nursing Service Related Providers |
| N | 376K00000X | Nurse's Aide | 134186B | MO | Nursing Service Related Providers |
| Street Address |
510 MAIN ST |
| City | WAYNESVILLE |
| State | MO |
| Zip Code | 65583-2031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679072425 | Angels Care and Transportation | Home Health Aide | 510 Main St, Waynesville, MO 65583-2031 | 2018-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1134770464 | Patricia Harper | Technician | 25455 Hwy W, Waynesville, MO 65583 | 2019-09-27 |
| 1619430519 | Charles L Quinn | Counselor | Hope Connections LLC 704 Historic Rte. 66w Suite 101, Waynesville, MO 65583 | 2019-04-09 |
| 1801340609 | Nicole Marie Decher | Social Worker | 704 Historic 66 W # 207, Waynesville, MO 65583 | 2016-08-09 |
| 1780952945 | Joseph Benton Isaac | Dentist | 1400 State Rd F, Reznicek Dental Group LLC, Waynesville, MO 65583 | 2011-12-02 |
| 1326325192 | Paul Duane Reznicek | Dentist | 1400 State Rt F, Waynesville, MO 65583 | 2011-11-08 |
| 1629366182 | Bletel Residential Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18844 Ladera Ln, Waynesville, MO 65583 | 2011-07-19 |
| 1720218126 | Pulaski County Board for The Handicapped | Case Management | 301 Historic Route 66 East, Waynesville, MO 65583 | 2009-07-20 |
| 1447436001 | Joseph Garold Moody | Counselor | 1000 Hospital Road., Piney Ridge Center, Waynesville, MO 65583 | 2008-01-14 |
| 1841404746 | Valencia Sivells | Counselor | 411 Historic Rte 66 West, Waynesville, MO 65583 | 2007-05-09 |
| Find all providers in zip 65583 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912336728 | Henry Unverferth | Driver | 460 Miami St, Waynesville, OH 45068-5002 | 2013-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244285 | Margo Armstrong | Driver | 12336 Lusher Rd, Saint Louis, MO 63138-1455 | 2020-08-04 |
| 1679100895 | Damon Lamont Newton | Driver | 9508 E 57th St, Raytown, MO 64133-3205 | 2020-03-26 |
| 1235764234 | Mack Lee Campbell | Driver | 3634 Marble Hill Rd, Poplar Bluff, MO 63901-2228 | 2020-03-10 |
| 1053969139 | Shermaine Cierra Church | Driver | 3469 Saint Mark Ln, Saint Ann, MO 63074-2909 | 2019-08-31 |
| 1659928554 | Rundall T Mosley | Driver | 3850 W Edgewood St, Springfield, MO 65807-5584 | 2019-08-25 |
| 1518512565 | Harry George Jr. | Driver | 7891 Nw Roanridge Rd, K, Kansas City, MO 64151-5258 | 2019-08-06 |
| 1437713351 | Philip Joseph Hintz | Driver | 327 Lost Pines, Union, MO 63084-3071 | 2019-04-25 |
| 1013474170 | Tatyana Uglova | Driver | 6508 Ne 44th Ter, Kansas City, MO 64117-1583 | 2019-02-25 |
| 1447735865 | Kevin Dean Krause | Driver | 14 Horizon Dr, Saint Peters, MO 63376-3555 | 2018-10-02 |
| 1629551718 | James Kenneth Hecker | Driver | 4629 S Eastland Center Dr # At1528, Independence, MO 64055-7830 | 2018-09-13 |
| Find all providers with the same taxonomy | ||||
| City | WAYNESVILLE |
| Zip Code | 65583 |
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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.