PAMELA JUNE GARDNER-DAVIS (NPI# 1447394184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447394184 |
| Entity Type | Individual |
| Full Name | PAMELA JUNE GARDNER-DAVIS |
| Credential | CNS |
| Practice Address |
4825 S Laburnum Ave Richmond VA 23231-2713 |
| Mailing Address |
10299 Woodman Rd Glen Allen VA 23060-4419 |
| Practice Telephone | 8042222607 |
| Practice Fax Number | 8042369118 |
| Mailing Telephone | 8047278500 |
| Mailing Fax Number | 8047278580 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
0001096960 | VA | Nursing Service Providers |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
0015000486 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 162856 | 01 |
| Street Address |
4825 S LABURNUM AVE |
| City | RICHMOND |
| State | VA |
| Zip Code | 23231-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568864189 | Mirjam Bryan | Physician Assistant | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2014-09-26 |
| 1467790618 | Lindsay A Snead | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2013-01-23 |
| 1699096057 | Shannon Coughlin Garrett | Nurse Practitioner | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2010-06-18 |
| 1750522371 | Anne Blair Caldwell | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2009-03-11 |
| 1528259181 | Alexia Jeanine Gerczak | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-08-07 |
| 1316155328 | Annamaria Zita Moldovan | Psychiatry & Neurology | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-05-21 |
| 1487786547 | Edward Gilmour Hayes | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-03-12 |
| 1114054467 | Michael W. Nielsen | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-02-27 |
| 1366579609 | Rebecca Smith Mccracken | Psychologist | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-02-27 |
| 1255475422 | Brenda Ingram Dandridge | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524766 | Latoya Steward | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 805 Admiral Gravely Blvd, Richmond, VA 23231 | 2020-10-07 |
| 1548721160 | Ray E Hill Jr. | Non-emergency Medical Transport (VAN) | 9469 Barrett Pl, Richmond, VA 23231 | 2019-03-27 |
| 1265922314 | Bon Secours - Richmond Community Hospital, Incorporated | Pediatrics | 4744 Finlay St, Richmond, VA 23231 | 2018-05-15 |
| 1225371743 | Vantage Point Community Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8005 Diamond Ridge Court, Henrico, VA 23231 | 2013-04-03 |
| 1255586277 | Bon Secours - Richmond Community Hospital, Incorporated | Clinic/Center | 4630 S. Laburnum Ave., Suite C, Richmond, VA 23231 | 2008-11-18 |
| 1407050982 | Tawana Toneke Olds-davis | Counselor | 4305 Hillbrook Ave, Richmond, VA 23231 | 2007-06-11 |
| 1891814844 | East End Pediatrics, P.C. | Pediatrics | 4744 Finlay Street, Richmond, VA 23231 | 2007-03-29 |
| 1235229113 | Aunt Anns Home for Adolescents | Counselor | 5901 Almond Creek N Lane, Richmond, VA 23231 | 2006-10-13 |
| 1962500421 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5100 South Laburnum Ave Laburnum Sq, Richmond, VA 23231 | 2006-09-20 |
| 1043243546 | Bon Secours-virginia Healthsource | Family Medicine | 4835 S Laburnum Ave, Richmond, VA 23231 | 2006-07-08 |
| Find all providers in zip 23231 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639709298 | Rocio Allen | Registered Nurse | 1324 Club Ln, Richmond, CA 94803-1257 | 2020-01-23 |
| 1366060204 | Adebisi Okieimen | Registered Nurse | 2100 Preston St, Richmond, TX 77469-1419 | 2020-07-07 |
| 1942671300 | Marian Dick Hayes | Registered Nurse | 5801 Bremo Rd, Richmond, VA 23226-1907 | 2015-10-12 |
| 1598091019 | Sara Suzette Sinex | Registered Nurse | 831 Dillon Dr, Richmond, IN 47374-8048 | 2009-10-19 |
| 1215169776 | Gerald D Vannote | Registered Nurse | 831 Dillon Dr, Richmond, IN 47374-8048 | 2009-08-18 |
| 1144467705 | Tracy L Beaver | Registered Nurse | 831 Dillon Dr, Richmond, IN 47374-8048 | 2009-01-19 |
| 1346435229 | Patricia Ann Erdosy | Registered Nurse | 831 Dillon Dr, Richmond, IN 47374-8048 | 2007-09-13 |
| 1104016203 | Sharon Reynolds | Registered Nurse | 630 E Main St, Richmond, IN 47374-4310 | 2007-07-26 |
| 1457494825 | Betty S. Miller | Registered Nurse | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-02-15 |
| 1093858110 | Rocco A. Onorato | Registered Nurse | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-02-15 |
| Find all providers in RICHMOND | ||||
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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.