DAVIN RAY MODISETTE (NPI# 1356721245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356721245 |
| Entity Type | Individual |
| Full Name | DAVIN RAY MODISETTE |
| Practice Address |
18 Northland Dr Jackson TN 38301-3308 |
| Practice Telephone | 3184750690 |
| Mailing Telephone | 3184750690 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2019-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 487010 | TN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
18 NORTHLAND DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-3308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851949291 | Dr Mobile Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 18 Northland Dr, Jackson, TN 38301-3308 | 2019-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710407192 | Zachary Bridges | Radiologic Technologist | 969 Lakeland Dr, Jackson, MS 39216-4606 | 2017-06-26 |
| 1487091997 | Jason Wayne Jones | Radiologic Technologist | 205 N East Ave, Jackson, MI 49201-1753 | 2013-05-24 |
| 1528254554 | Douglas E Brown | Radiologic Technologist | 1855 Lakeland Dr, Suite J10, Jackson, MS 39216-4913 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922483023 | Abigail Bargatze | Radiologic Technologist | 1708 Elm Run Way, Nashville, TN 37214 | 2015-07-30 |
| 1235568346 | Beata Joanna Czartoryski | Radiologic Technologist | 195 Lasalle Rd, Oak Ridge, TN 37830-8548 | 2013-11-08 |
| 1265786446 | Franklin County Diagnostics, LLC | Radiologic Technologist | 25 Veterans Dr, Decherd, TN 37324-3887 | 2012-11-09 |
| 1336499698 | Fasika Getahun Gebremariam | Radiologic Technologist | 4248 October Woods Dr, Antioch, TN 37013-4876 | 2012-09-14 |
| 1851641567 | Trinity Mobile X-ray | Radiologic Technologist | 6431 Wade Springs Rd, Murfreesboro, TN 37130-8719 | 2012-09-11 |
| 1922356021 | Jannnekee Burchett | Radiologic Technologist | 5292 Bradcliff St, Memphis, TN 38109-7504 | 2012-08-21 |
| 1265796114 | Brandon Dean Wingate | Radiologic Technologist | 323 Savannah Rdg, Murfreesboro, TN 37127-8331 | 2012-06-26 |
| 1689900474 | The Medical Matter LLC | Radiologic Technologist | 23 Gann Rd, Milan, TN 38358-6518 | 2009-10-28 |
| 1215189576 | Calvin Carter Jamel Jr. | Radiologic Technologist | 1912 Streamfield Ct, Antioch, TN 37013-5753 | 2008-10-17 |
| 1932319472 | Maria M Mcneal | Radiologic Technologist | 5287 Scrivener Dr, Memphis, TN 38134-8453 | 2007-05-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DAVIN RAY MODISETTE.
| 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.