JENNIFER DAVIS


Address: 400 N 9th St, Springfield, IL 62769-1000
Phone: 2175458000

JENNIFER DAVIS (NPI# 1376920645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376920645
Entity Type Individual
Full Name JENNIFER DAVIS
Other Name JENNIFER HEW
Credential MS, RD, LDN
Practice Address 400 N 9th St
Springfield
IL 62769-1000
Mailing Address 800 E Carpenter St
Springfield
IL 62769-1000
Practice Telephone 2175458000
Practice Fax Number 2175450130
Mailing Telephone 2175446464
Mailing Fax Number 2177576050
Enumeration Date 2015-05-06
Last Update Date 2019-07-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133V00000X Dietitian, Registered IL Dietary & Nutritional Service Providers
Y 133V00000X Dietitian, Registered 164005837 IL Dietary & Nutritional Service Providers

Other Providers JENNIFER DAVIS

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1003423559 Jennifer Annette Davis Registered Nurse 330 Harvest Mdw, Temple, TX 76502-5060 2020-09-29
1225640667 Jennifer Lea Davis Technician 47 Hall St, Philippi, WV 26416-1292 2020-08-18
1285245688 Jennifer Rae Davis Technician 139 Gauley Ave, Cowen, WV 26206-8690 2020-08-11
1053961441 Jennifer Davis Massage Therapist 3161 Howell Mill Rd Nw Ste 330, Atlanta, GA 30327-2133 2019-09-17
1922579432 Jennifer Jean Davis Art Therapist 165 Beach 116th St, Rockaway Park, NY 11694-2411 2018-12-09
1265949200 Jennifer Jennings Davis Nurse Practitioner 2451 Fillingim Street Suite 10-i, Mobile, AL 36617-2293 2017-12-29
1477912053 Jennifer Davis Speech-Language Pathologist 301 Toftrees Ave, 345, State College, PA 16803-2074 2016-02-11
1427421908 Jennifer Davis Counselor 925 Country Club Rd, Argyle, TX 76226 2015-11-05
1235501172 Jennifer Lynn Davis Home Health Aide 139 Johnson St, Marion, OH 43302-3316 2015-10-29
1932581600 Jennifer Davis Registered Nurse 1025 West Barnette St., Fairbanks, AK 99701 2015-06-18

Office Location

Street Address 400 N 9TH ST
City SPRINGFIELD
State IL
Zip Code 62769-1000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063484814 Norman Y Otsuka Orthopaedic Surgery 400 N 9th St, Springfield, IL 62702-5310 2006-02-06
1215551320 Jennifer Inness Social Worker 400 N 9th St, Springfield, IL 62702-5310 2020-06-04
1588287841 Laila Mahmoud Hashim Pediatrics 400 N 9th St, Springfield, IL 62702-5310 2020-05-21
1710527908 Sydney J Sullivan Nurse Practitioner 400 N 9th St, Springfield, IL 62702-5310 2020-01-15
1669997383 Trisha Schulte Occupational Therapist 400 N 9th St, Springfield, IL 62702-5310 2017-08-03
1164831186 Eshan Michael Samuel Pediatrics 400 N 9th St, Springfield, IL 62702-5310 2014-08-04
1447686415 Lamya Mubayed Pediatrics 400 N 9th St, Springfield, IL 62702-5310 2013-09-22
1336395904 Carlos F Sanchez -glanville Surgery 400 N 9th St, Springfield, IL 62702-5310 2008-08-14
1871766493 Troy L. Spilde Surgery 400 N 9th St, Springfield, IL 62702-5310 2008-04-03
1114034352 Ahmed G. Mami Surgery 400 N 9th St, Springfield, IL 62702-5310 2006-08-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871041244 Ejaz Shah Hospitalist 800 E Carpenter St, Springfield, IL 62769 2016-09-14
1023564176 Muhammad Sohail Yousuf Hospitalist 800 E Carpenter St, Springfield, IL 62769 2016-08-29
1194191544 Muhammad Nauman Javed Tarar Internal Medicine 800 E Carpenter St, Springfield, IL 62769 2015-08-19
1144606583 Amit Bhandari Internal Medicine 800 E Carpenter St, Springfield, IL 62769 2015-08-08
1255727673 Parth Patel Internal Medicine 800 E Carpenter St, Springfield, IL 62769 2015-04-13
1316353428 Debdoot Saha Internal Medicine 800 E Carpenter St, Springfield, IL 62769 2014-07-09
1689009243 Lucy Sams Physical Therapist 800 E Carpenter St, Springfield, IL 62769 2013-09-13
1326315383 Qing Yang Anesthesiology 800 E Carpenter St, Springfield, IL 62769 2011-11-18
1215259056 Kimberly K Sauerwein Nurse Anesthetist, Certified Registered 800 E Carpenter St, Springfield, IL 62769 2010-02-22
1003045097 Elijah Kim Surgery 800 E Carpenter St, Springfield, IL 62769 2009-07-10
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033716832 Anna Opalko Dietitian, Registered 504 Philmar Ct Apt B, Springfield, PA 19064-3065 2020-10-05
1659978641 Jaimie Lillian Lafferty Dietitian, Registered 1033 Lincoln Ave, Springfield, PA 19064-3922 2020-10-03
1023626108 Samuel Bryan Yarrow Dietitian, Registered 960 E Walnut Lawn St Ste 203, Springfield, MO 65807-7865 2020-07-15
1417572579 Nikki Jupe Dietitian, Registered 1928 5th St Apt 27, Springfield, OR 97477-2291 2020-06-14
1205487337 Mary Digioia Dietitian, Registered 66 Industry Ave Ste 9, Springfield, MA 01104-3243 2019-09-20
1144877556 Lindsey Allison Mcclafferty Dietitian, Registered 3252 S Meadowlark Ave, Springfield, MO 65807-8719 2019-08-20
1891357125 Amy Richter Dietitian, Registered 1857 S Hampton Ave, Springfield, MO 65807-2725 2019-07-08
1396203626 Auvia L Logan Dietitian, Registered 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 2019-03-05
1407322407 Ruth Kirschner Dietitian, Registered 275 Chestnut St Ste 1, Springfield, MA 01104-3498 2018-10-17
1518491042 Crystal Spangler Dietitian, Registered 1965 S Fremont Ave Ste 220, Springfield, MO 65804 2017-04-11
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Competitor

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City SPRINGFIELD
Zip Code 62769

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Dataset Information

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.

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