JACQUELINE DAVIS (NPI# 1366098782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366098782 |
| Entity Type | Individual |
| Full Name | JACQUELINE DAVIS |
| Practice Address |
430 Brushfield Park Dr Elgin SC 29045-8397 |
| Practice Telephone | 8037368969 |
| Mailing Telephone | 8037368969 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801373550 | Jacqueline Davis | Counselor | 1380 Sw Swantown Ave Apt G, Oak Harbor, WA 98277-7523 | 2018-07-25 |
| 1285126557 | Jacqueline Davis | Counselor | 1309 Northup St Ste F, Reidsville, NC 27320-5611 | 2018-06-03 |
| 1891218376 | Jacqueline Denise Davis | Home Health Aide | 5340 M St Ne, Magnolia, OH 44643-8466 | 2017-07-17 |
| 1285169730 | Jacqueline Davis | Registered Nurse | Barbel Plaza South, First Floor, Ross Building, St. Thomas, VI 00802 | 2017-04-21 |
| 1972058444 | Jacqueline Davis | Nurse Practitioner | 925 Woodland Brk, Mcdonough, GA 30253-5578 | 2016-08-24 |
| 1730523341 | Jacqueline Davis | Licensed Practical Nurse | 2305 Staborn Dr, Beloit, WI 53511-2737 | 2013-04-25 |
| 1457623621 | Jacqueline A Davis | Counselor | 511 W Grove St Ste 204, Middleboro, MA 02346-1479 | 2012-02-03 |
| 1104137736 | Jacqueline Davis | Social Worker | 276 Cherokee Rd, Pontiac, MI 48341-2004 | 2010-06-29 |
| 1962726687 | Jacqueline Williams Davis | Pharmacist | 200 Georgia Ave, Valdosta, GA 31698 | 2010-03-24 |
| 1467574954 | Jacqueline Bryant Davis | Speech-Language Pathologist | 3572 N Tanglewood Ln, Shelbyville, IN 46176-9444 | 2007-04-04 |
| Street Address |
430 BRUSHFIELD PARK DR |
| City | ELGIN |
| State | SC |
| Zip Code | 29045-8397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
| 1265089494 | Felicity Garrick | Occupational Therapist | 385 Spears Creek Church Road, Elign, SC 29045 | 2019-08-22 |
| 1629537303 | Traisha White Campfield | Pharmacist | 1107 Ross St, Elgin, SC 29045 | 2019-03-13 |
| 1922526722 | Talesia Jackson | Specialist/Technologist | 1127 Triple Crown Court, Elgin, SC 29045 | 2017-09-01 |
| 1649697228 | All South Case Management | Exclusive Provider Organization | 216 Sunday Silence Lane, Elgin, SC 29045 | 2014-03-21 |
| 1235481151 | Karen C. Taylor | Counselor | 2439 Main Street, Elgin, SC 29045 | 2012-10-03 |
| 1306135975 | Aftercare Medical Equipment & Supplies, Inc | Durable Medical Equipment & Medical Supplies | 1105 Ross St, Elgin, SC 29045 | 2011-04-04 |
| 1902032345 | Aftercare Home Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1107 Ross Street, Elgin, SC 29045 | 2009-05-29 |
| 1962691592 | Pontiac Pharmacy | Pharmacy | 10535 A Two Notch Rd, Elgin, SC 29045 | 2007-10-19 |
| 1154529576 | Sarah Jones Disasa | Speech-Language Pathologist | 203 Parrish Walk, Elgin, SC 29045 | 2007-07-06 |
| Find all providers in zip 29045 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521236 | Lasonya Eady | Technician | 6 Wright Pl, Hilton Head, SC 29926-1291 | 2020-09-04 |
| 1891304549 | Emma Lorraine Richardson | Technician | 1497 Woodview Ln, Charleston, SC 29412-8137 | 2020-07-29 |
| 1609494574 | Pamela Mae Byrd | Technician | 1526 Brookstone Dr, Graniteville, SC 29829-3903 | 2020-07-08 |
| 1780206847 | Mary Kiele | Technician | 1131 Woodrow Ln, Loris, SC 29569-6062 | 2020-05-12 |
| 1841810504 | Jaunett James | Technician | 181 Training Rd, Eutawville, SC 29048-9133 | 2020-04-23 |
| 1407485055 | Nancy Bloodsworth | Technician | 5364 Birdie Ln, Hollywood, SC 29449-6292 | 2020-04-06 |
| 1891323580 | Cynthia Phillips | Technician | 1411 Orange Cir, Florence, SC 29506-6315 | 2020-03-30 |
| 1417582099 | Cheryl Ducos | Technician | 230 Lakeview Cir, Woodruff, SC 29388-9336 | 2020-03-04 |
| 1851926422 | Linda Powers | Technician | 2857 Old Charleston Rd, Gilbert, SC 29054-8911 | 2020-03-04 |
| 1053945915 | Daisy Mocks | Technician | 640 Toms Creek Rd, Hopkins, SC 29061-9200 | 2020-02-28 |
| 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.