MRS. AMANDA BROOKE DAVIS (NPI# 1316546492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316546492 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA BROOKE DAVIS |
| Practice Address |
119 White Water Dr Ocoee TN 37361-3645 |
| Mailing Address |
426 Thoroughbred Dr Nw Cleveland TN 37312-6367 |
| Practice Telephone | 4232999435 |
| Mailing Telephone | 4237151845 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
28397 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330423 | Amanda Nicole Davis | Nurse's Aide | 686 Easy St, Marion, OH 43302-1606 | 2020-09-14 |
| 1598318842 | Amanda Lee Davis | Speech-Language Pathologist | 5730 W Centinela Ave Apt 308, Los Angeles, CA 90045-8815 | 2019-07-16 |
| 1790245645 | Amanda Davis | Occupational Therapy Assistant | 22461 Interstate 30 Ste 301, Bryant, AR 72022-2382 | 2019-03-25 |
| 1295246007 | Amanda N. Davis | Marriage & Family Therapist | 5001 Kendall Sta Nw, Acworth, GA 30102-7961 | 2017-10-19 |
| 1558886598 | Amanda Marie Davis | Nurse Practitioner | 18500 E 6th Ave, Aurora, CO 80011-9504 | 2017-08-10 |
| 1386184638 | Amanda Jean Davis | Behavioral Analyst | 34 Manor House Rd, Budd Lake, NJ 07828-2718 | 2017-03-06 |
| 1427593946 | Amanda Jane Davis | Social Worker | 5520 Barton Ln, Shawnee, KS 66203-2246 | 2016-12-20 |
| 1972054013 | Amanda Lee Davis | Hearing Instrument Specialist | 1761 Lisbon St, Unit 2, Lewiston, ME 04240-3525 | 2016-10-24 |
| 1033506209 | Amanda Davis | Social Worker | 7863 Park Gate Dr, North Charleston, SC 29418-3687 | 2015-04-24 |
| 1891192985 | Amanda Kathleen Davis | Nurse Practitioner | 4302 Allen Rd Ste 420, Stow, OH 44224-1070 | 2014-12-04 |
| Street Address |
119 WHITE WATER DR |
| City | OCOEE |
| State | TN |
| Zip Code | 37361-3645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770929333 | Bradley Polk Walk In Clinic | Internal Medicine | 119 White Water Dr, Ocoee, TN 37361-3645 | 2013-05-21 |
| 1780234484 | Stephanie Julienne Hamel | Nurse Practitioner | 119 White Water Dr, Ocoee, TN 37361-3645 | 2019-09-14 |
| 1720568462 | Kaitlin Weeks | Physician Assistant | 119 White Water Dr, Ocoee, TN 37361-3645 | 2018-08-21 |
| 1225575756 | Kimberly Delaney | Nurse Practitioner | 119 White Water Dr, Ocoee, TN 37361-3645 | 2017-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740673235 | Ocoee Pharmacy, Inc | Pharmacy | 186 Creekside Dr, Ocoee, TN 37361 | 2015-03-09 |
| 1376947085 | Dora D. Trivette | Nurse Practitioner | 2020 Keith Street Nw, Suite C, Cleveland, TN 37361 | 2014-10-09 |
| 1326487752 | Bethany Randolph Hogan | Nurse Practitioner | 119 Whitewater Drive, Bradley Polk Walk In Clinic and Medical Center, Ocoee, TN 37361 | 2013-06-19 |
| 1326055591 | Preferred Oxygen LLC | Durable Medical Equipment & Medical Supplies | 134 Creekside Dr., Suite #2, Ocoee, TN 37361 | 2006-08-01 |
| 1952754707 | Samuel Randolph | Pharmacist | 186 Creekside Dr, Ocoee, TN 37361 | 2016-07-18 |
| 1174921001 | Tennessee Valley Bone and Joint, PC | Orthopaedic Surgery | 119 Whitewater Drive, Ocoee, TN 37361 | 2014-12-09 |
| 1568645091 | David D Darden | Preventive Medicine | 1680 Sand Mountain Road, Ocoee, TN 37361-0335 | 2007-12-06 |
| 1912283458 | Karen Milen | Nurse Practitioner | 400 Blackberry Ln, Ocoee, TN 37361-3456 | 2011-10-28 |
| 1114310224 | Cooke Food Store Inc | Pharmacy | 116 White Water Dr, Ocoee, TN 37361-3644 | 2015-03-13 |
| 1760875686 | Thad Huff | Pharmacist | 116 White Water Dr, Ocoee, TN 37361-3644 | 2015-03-17 |
| Find all providers in zip 37361 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386209575 | Chantal Monde | Nurse Practitioner | 1000 W Colonial Drive, Ocoee, FL 34761 | 2019-05-03 |
| 1821275991 | Jacqueline Knoll Spence | Nurse Practitioner | 10000 W Colonial Dr Ste 187, Ocoee, FL 34761-3438 | 2008-01-30 |
| 1679654537 | Terry Clemons | Nurse Practitioner | 10000 W Colonial Dr, Suite 187, Ocoee, FL 34761-3498 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982658 | Kirsten Marie Doerfer | Nurse Practitioner | 8512 Golden Cloud Ln, Knoxville, TN 37931-3164 | 2020-11-06 |
| 1912506551 | Anna Simpson Jones | Nurse Practitioner | 1042 E 3rd St Ste 103, Chattanooga, TN 37403-2161 | 2020-10-24 |
| 1033724349 | Tatum Lee Severino I | Nurse Practitioner | 8819 Three Chimneys Dr E, Germantown, TN 38138-8206 | 2020-09-14 |
| 1871106930 | Munira Asif | Nurse Practitioner | 874 Schilling Farm Rd Apt 106, Collierville, TN 38017-7039 | 2020-08-28 |
| 1669000840 | Tekeyla Warfield | Nurse Practitioner | 2980 Poplar Ave, Memphis, TN 38111-3527 | 2020-04-01 |
| 1578197836 | Jessica Pratt | Nurse Practitioner | 512 Marbury Rd, Tullahoma, TN 37388-2142 | 2020-02-26 |
| 1730729278 | Anna Abigail Markus | Nurse Practitioner | 211 Long Branch Rd, Lawrenceburg, TN 38464-5400 | 2020-01-13 |
| 1023653037 | Staci Garner | Nurse Practitioner | 2508 Highway 130, Petersburg, TN 37144-8001 | 2019-11-13 |
| 1881238533 | Janna Rae Haskins | Nurse Practitioner | 5137 Vinnie Dell Drive, Chapel Hill, TN 37034 | 2019-11-05 |
| 1124676325 | Marde M Walker | Nurse Practitioner | 8225 Highway 51 North, Millington, TN 38053 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
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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.