MR. GARY S DAVIS (NPI# 1336435718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336435718 |
| Entity Type | Individual |
| Full Name | MR. GARY S DAVIS |
| Practice Address |
Corner of Route N12 and N7 Fort Defiance AZ 86504-0649 |
| Mailing Address |
Po Box 649 Fort Defiance AZ 86504-0649 |
| Practice Telephone | 9287293741 |
| Practice Fax Number | 9287298943 |
| Mailing Telephone | 9287293741 |
| Mailing Fax Number | 9287298943 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 303490 | NM | Behavioral Health & Social Service Providers |
| Y | 221700000X | Art Therapist | 303490 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831255736 | Gary B Davis | Chiropractor | 716 E. 4500 South, Ste. N250, Salt Lake City, UT 84107 | 2006-12-28 |
| 1932276102 | Gary Phillip Davis | Physical Therapy Assistant | Greenwood Sports and Industrial Rehab, 1602 Spring Street, Greenwood, SC 29646 | 2006-11-30 |
| 1720151277 | Gary S Davis | Dentist | 420 E Orange St, Shippensburg, PA 17257 | 2006-11-15 |
| 1952495038 | Gary Wade Davis | Family Medicine | 3828 Bardstown Rd, Louisville, KY 40218-1527 | 2006-10-03 |
| 1831105931 | Gary Kenneth Davis | Counselor | 1611 South Main, Ste17, Ho[pkinsville, KY 42240 | 2006-07-31 |
| 1437178977 | Gary Davis | Family Medicine | 5201 Haverford Ave, Philadelphia, PA 19139 | 2006-07-18 |
| 1982695409 | Gary D Davis | Dentist | 1309 Briarville Rd, Suite 101, Madison, TN 37115-5157 | 2005-11-03 |
| 1790309003 | Gary Ralph Davis | Social Worker | 275 Pine Valley Rd, Berea, KY 40403-9544 | 2020-06-02 |
| 1275004392 | Gary Davis | Counselor | 2266 Wakefield Mound Rd, Piketon, OH 45661-9660 | 2018-12-16 |
| 1477969418 | Gary Davis | Counselor | 1200 W Walnut St Ste 3100, Rogers, AR 72756-3524 | 2014-07-10 |
| Street Address |
CORNER OF ROUTE N12 AND N7 |
| City | FORT DEFIANCE |
| State | AZ |
| Zip Code | 86504-0649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326040577 | John R Thompson | Orthopaedic Surgery | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2005-06-01 |
| 1194348524 | Shanna Michelle George | Respiratory Therapist, Registered | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0589 | 2020-05-20 |
| 1265077267 | Stanislava Manojlovic | Pharmacist | Corner of Route N12 and N7, Fort Defiance Indian Hospital Board, Inc., Fort Defiance, AZ 86504-0649 | 2019-11-13 |
| 1033767371 | Dakota Kay | Physical Therapist | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2019-08-29 |
| 1053964452 | Jenny Dietz | Nurse Practitioner | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2019-07-24 |
| 1386296648 | Tessa Tahereh Facer | Physician Assistant | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2019-07-16 |
| 1346892056 | Amanda Barnes | Physician Assistant | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2019-07-12 |
| 1295206779 | Craig Amidon Fox | Physical Therapist | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2018-12-10 |
| 1134698517 | Christa Lee | Advanced Practice Midwife | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2018-11-15 |
| 1518440007 | Ethan Curleyhair | Dentist | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2018-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807664 | Clifford Charles | Pharmacist | Corners of Route 7&12, Fort Defiance, AZ 86504 | 2020-10-06 |
| 1720605207 | Christopher A Will | Registered Nurse | 2126-1 Shandiin Circle, Fort Defiance, AZ 86504 | 2020-06-30 |
| 1750904207 | Crystal Salaz | Respiratory Therapist, Registered | Corner of Roue N12 and N7, Fort Defiance, AZ 86504 | 2020-05-19 |
| 1003451600 | Rebecca Reeve | Pharmacist | Tsehootsooi Medical Center, Corner of Indian Route 7 and 12, Fort Defiance, AZ 86504 | 2019-11-07 |
| 1851947485 | David Glen Webb | Pharmacist | Hwy 12 Nr 110, Fort Defiance, AZ 86504 | 2019-08-09 |
| 1952963647 | Eukerison Bobby Tsinajinie | Counselor | .25 Miles S Fieldhouse Ra 6905, Fort Defiance, AZ 86504 | 2019-07-02 |
| 1770145567 | Joann Tso I | Counselor | 1/4 Mile Ne of Ft. Defiance Fieldhouse, Ft. Defiance, AZ 86504 | 2019-07-02 |
| 1174185961 | James Leslie | Counselor | 1/4 Mile South of Ft Defiance Fieldhouse Ra#6905, Ft Defiance, AZ 86504 | 2019-07-02 |
| 1184192163 | Miranda Frances Blatchford | Social Worker | .5 Miles Sw of The Fd Field House, Bldg #6905, Fort Defiance, AZ 86504 | 2018-11-07 |
| 1477030914 | Michelle Rosario | Dietitian, Registered | Fort Defiance Indian Hospital Board, Inc., Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2018-07-27 |
| Find all providers in zip 86504 | ||||
| Taxonomy Code | 221700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Art Therapist |
| (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change. |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821569385 | Rachel Nelson | Art Therapist | 101 W 6th St # J, Tucson, AZ 85701-1000 | 2018-12-10 |
| 1407337918 | Jamie Dawn Klinginsmith | Art Therapist | 5270 N 59th Ave Ste 9, Glendale, AZ 85301-6763 | 2018-08-23 |
| 1033327218 | Jerilyn Klingenberg | Art Therapist | 2883 Doc Mackey Rd, Camp Verde, AZ 86322-8409 | 2007-05-19 |
| 1700484896 | Angela Lynn Isaac | Art Therapist | 4343 N 16th St, Phoenix, AZ 85016-5338 | 2020-10-12 |
| 1649753534 | Step It Up Dance Therapy LLC | Art Therapist | 5270 N 59th Ave Ste 9, Glendale, AZ 85301-6763 | 2018-09-07 |
| 1598196388 | Jodi C Gonzales | Art Therapist | 5210 E Pima St Ste 200, Tucson, AZ 85712-3678 | 2013-12-05 |
| 1841379393 | William Allen | Art Therapist | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2006-11-03 |
| City | FORT DEFIANCE |
| Zip Code | 86504 |
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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.