JUDY DAVIS (NPI# 1427427947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427427947 |
| Entity Type | Individual |
| Full Name | JUDY DAVIS |
| Practice Address |
47825 Oasis St Indio CA 92201-6950 |
| Mailing Address |
8978 Haskell St Riverside CA 92503-5716 |
| Practice Telephone | 7608638145 |
| Mailing Telephone | 7076965236 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT33109 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083886469 | Judy Alice Davis | Massage Therapist | 805 Kaufman Ave, Fort Pierce, FL 34950-6542 | 2008-03-26 |
| 1679776611 | Judy Davis | Occupational Therapist | 690 N Cofco Center Ct Ste 260, Phoenix, AZ 85008-6473 | 2007-06-07 |
| 1255459798 | Judy Davis | Registered Nurse | 11194 W Highmont Dr, Boise, ID 83709-7703 | 2007-03-26 |
| 1619005428 | Judy Lee Davis | Marriage & Family Therapist | 155 Ne 100th St Ste 402, Seattle, WA 98125-8010 | 2007-03-01 |
| 1558421719 | Judy A. Davis | Nurse Practitioner | 1110 W Belmont Avenue, Mothers Programthresholds, Chicago, IL 60657 | 2006-12-11 |
| 1922114685 | Judy Jean Davis | Pediatrics | 7405 N Fresno St, Fresno, CA 93720-2457 | 2006-08-22 |
| 1376555797 | Judy Anne Davis | Social Worker | 1060 Estes St, El Cajon, CA 92020-7411 | 2006-08-13 |
| 1144206459 | Judy L Davis | Ophthalmology | 807 Glendale Blvd, Valparaiso, IN 46384-2023 | 2005-12-19 |
| 1285114108 | Judy Ann Davis | Counselor | 2101 Magnolia Ave, Long Beach, CA 90806-4521 | 2018-08-20 |
| 1770087140 | Judy L Davis | Health Educator | 2863 Highway 45 Byp, Jackson, TN 38305-3618 | 2018-03-21 |
| Street Address |
47825 OASIS ST |
| City | INDIO |
| State | CA |
| Zip Code | 92201-6950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346262672 | Alisa Huntington | Public Health or Welfare | 47825 Oasis St, Indio, CA 92201-6950 | 2006-07-24 |
| 1497360192 | Mara Moreno | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2020-09-10 |
| 1235750498 | Thu My Phan | Social Worker | 47825 Oasis St, Indio, CA 92201-6950 | 2020-04-29 |
| 1710512793 | Anel N Diaz | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2020-03-10 |
| 1689210650 | Brianna Lynn Parrish-perez | Licensed Vocational Nurse | 47825 Oasis St, Indio, CA 92201-6950 | 2019-11-25 |
| 1174169148 | Rob James Lara | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2019-11-25 |
| 1215573449 | Aneeka Marie Zerkle | Marriage & Family Therapist | 47825 Oasis St, Indio, CA 92201-6950 | 2019-11-22 |
| 1669014155 | Gerardo L Cossio | Case Manager/Care Coordinator | 47825 Oasis St, Indio, CA 92201-6950 | 2019-10-16 |
| 1033769963 | Lorena Simo Molina | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2019-09-12 |
| 1992352603 | Jaleesa Sims | Licensed Vocational Nurse | 47825 Oasis St, Indio, CA 92201-6950 | 2019-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174151534 | Kayla Marie Berry | Licensed Vocational Nurse | Telecare Riverside County Psychiatric Health Facility, Indio, CA 92201 | 2020-03-31 |
| 1699327353 | Nawar Hadid | Dentist | 81735 Ca-111, Indio, CA 92201 | 2019-07-12 |
| 1427521889 | Thanh Trang Thi Nguyen Md Inc | Internal Medicine | 44100 Jefferson St., #e507, Indio, CA 92201 | 2019-01-09 |
| 1306328315 | Grant Nishimura | Dentist | 81-637, Suite 1, Ca-111, Indio, CA 92201 | 2018-09-06 |
| 1700363645 | Desert Physical Medicine | General Practice | 81765 Highway 111, Ste #3, Indio, CA 92201 | 2018-07-24 |
| 1336668151 | U & I Care Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 44105 Jackson St Ste 204, Indio, CA 92201 | 2017-09-13 |
| 1154847234 | Myung Kee Park | Dentist | 81106 Ca-111, #c, Indio, CA 92201 | 2017-08-21 |
| 1912434937 | Mirage Home Health | Home Health | 82691 Miles Ave, Indio, CA 92201 | 2017-05-22 |
| 1497294821 | Orthopedic and Physical Medicine Associates Inc | Chiropractor | 81765 Hwy 111, #3, Indio, CA 92201 | 2017-02-17 |
| 1497103758 | Timothy Smith | Contractor | 81337 Avenida Romero, Indio, CA 92201 | 2016-05-27 |
| Find all providers in zip 92201 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295297331 | Christopher Omar Bojorquez | Licensed Psychiatric Technician | 47915 Oasis St, Indio, CA 92201-6950 | 2019-04-05 |
| 1588010987 | Cheryl Brown | Licensed Psychiatric Technician | 47915 Oasis St, Indio, CA 92201-6950 | 2016-05-04 |
| 1477933190 | Christopher Larry | Licensed Psychiatric Technician | 47915 Oasis St, Indio, CA 92201-6950 | 2015-06-08 |
| 1497156210 | Michael O Adjei | Licensed Psychiatric Technician | 47915 Oasis St, Indio, CA 92201-6950 | 2014-09-11 |
| 1376959254 | Maria Angelica Gutierrez | Licensed Psychiatric Technician | 47915 Oasis St, Indio, CA 92201-6950 | 2014-07-11 |
| 1407070303 | Daniel Lawson | Licensed Psychiatric Technician | 47915 Oasis St, Indio, CA 92201-6950 | 2007-04-12 |
| 1962550251 | Robyn Marie Long | Licensed Psychiatric Technician | 47825 Oasis St, Indio, CA 92201-6950 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
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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.