JACKIE DAVIS (NPI# 1316488109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316488109 |
| Entity Type | Individual |
| Full Name | JACKIE DAVIS |
| Practice Address |
720 14th Ave Longview WA 98632-2315 |
| Practice Telephone | 3604230203 |
| Practice Fax Number | 3605770269 |
| Mailing Telephone | 3604230203 |
| Mailing Fax Number | 3605770269 |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2019-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2097707 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619482452 | Jackie Elizabeth Davis | Behavior Technician | 3214 W Mcgraw St Ste 212, Seattle, WA 98199-3239 | 2017-12-01 |
| 1063586964 | Jackie Lyn Davis | Physical Therapist | 2416 Constitution Avenue, Rehabilitation Today, Olean, NY 14760 | 2006-11-20 |
| 1881606366 | Jackie B Davis | Advanced Practice Midwife | 1630 Se 18th St, Bldg 300, Ocala, FL 34471-5471 | 2006-08-12 |
| Street Address |
720 14TH AVE |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225023559 | June S Longway | Nurse Practitioner | 720 14th Ave, Longview, WA 98632-2315 | 2005-09-13 |
| 1467052977 | Sarah Ann Evans | Counselor | 720 14th Ave, Longview, WA 98632-2315 | 2020-10-26 |
| 1114527629 | Crystal Lynn Channel | Nurse's Aide | 720 14th Ave, Longview, WA 98632-2315 | 2020-10-26 |
| 1205443108 | Brittney Morghan Teaney | Student in an Organized Health Care Education/Training Program | 720 14th Ave, Longview, WA 98632-2315 | 2020-09-25 |
| 1457965212 | Marieke Brown | Counselor | 720 14th Ave, Longview, WA 98632-2315 | 2020-08-31 |
| 1528678448 | Kyle David Parsons | Licensed Practical Nurse | 720 14th Ave, Longview, WA 98632-2315 | 2020-08-05 |
| 1972112548 | Abigail Katherine Phillips | Social Worker | 720 14th Ave, Longview, WA 98632-2315 | 2020-07-29 |
| 1104442524 | Alexander James Sylvester | Social Worker | 720 14th Ave, Longview, WA 98632-2315 | 2020-06-22 |
| 1033735444 | Amy Warner | Registered Nurse | 720 14th Ave, Longview, WA 98632-2315 | 2020-06-22 |
| 1669095501 | Savina Rogriguez-flores | Nurse's Aide | 720 14th Ave, Longview, WA 98632-2315 | 2020-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772613 | Justin Prentis Arnold | Counselor | 2137 George Richey Rd, Longview, TX 75604-9732 | 2020-05-22 |
| 1710537683 | Betty L Hayes | Counselor | 1101 Commerce Ave, Longview, WA 98632-3024 | 2019-09-12 |
| 1619451911 | Lauren Bradley | Counselor | 212 Crescent Dr, Longview, TX 75602-1516 | 2018-09-21 |
| 1346752508 | Jamie Ilene Norwood | Counselor | 1616 10th Ave, Longview, WA 98632-4119 | 2017-10-27 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| 1053857052 | Rai Machin | Counselor | 1511 Judson Rd Ste C, Longview, TX 75601-3900 | 2017-01-13 |
| 1912443383 | A Different Perspective, LLC | Counselor | 216 Baltimore St Apt 4, Longview, WA 98632-1745 | 2017-01-10 |
| 1568853885 | Kaaren Lilly Marie Spanski-dreffin | Counselor | 1105 D 15th Ave, 186, Longview, WA 98632 | 2015-02-09 |
| 1508260688 | Alixandra Celeste Hixson | Counselor | 2610 Ocean Beach Hwy, Longview, WA 98632-3508 | 2014-10-17 |
| 1649670126 | Renee Ducharme-brodie | Counselor | 1801 1st Ave Ste 2b4, Longview, WA 98632 | 2014-09-03 |
| Find all providers in LONGVIEW | ||||
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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.