MARY L DAVIS (NPI# 1457992562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457992562 |
| Entity Type | Individual |
| Full Name | MARY L DAVIS |
| Practice Address |
9946 Tracy Rd Atoka TN 38004-7528 |
| Practice Telephone | 9015040649 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| 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 |
|---|---|---|---|---|
| 1437646775 | Mary Teresa Davis | Massage Therapist | 158 S Houston Lake Rd Ste 3, Warner Robins, GA 31088-8018 | 2018-04-20 |
| 1992218648 | Mary Davis | Technician | 2801 14th St Nw Apt 517, Washington, DC 20009-4914 | 2017-11-15 |
| 1750807152 | Mary Ann Davis | Home Health Aide | 4506 Quarles St Ne Apt B2, Washington, DC 20019-2020 | 2017-08-17 |
| 1588186290 | Mary Ann Davis | Counselor | 472 W Paseo Rio Grande, Oro Valley, AZ 85737-6877 | 2017-07-13 |
| 1003356288 | Mary Amber Davis | Nurse Anesthetist, Certified Registered | 27 Wintergreen Way, Orlando, FL 32825-3649 | 2017-03-07 |
| 1770038093 | Mary E Davis | Nurse Practitioner | 2467b Diehl Dr, Tallahassee, FL 32308-3870 | 2016-08-16 |
| 1275914392 | Mary Katherine Davis | Dentist | 1903 Ep True Pkwy, West Des Moines, IA 50265-7000 | 2015-06-15 |
| 1427448463 | Mary Davis | Massage Therapist | 28186 Highway 74, Unit 7, Evergreen, CO 80439-5775 | 2015-01-29 |
| 1972845873 | Mary Joe Davis | Counselor | 130 Jessie St, Ellwood City, PA 16117-5408 | 2013-03-19 |
| 1053657627 | Mary Ann Davis | Social Worker | 113 Misty Pond Ter, Purcellville, VA 20132-6142 | 2012-12-29 |
| Street Address |
9946 TRACY RD |
| City | ATOKA |
| State | TN |
| Zip Code | 38004-7528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205194107 | Dorothy Joy Casama | Pediatrics | 36 Capital Way, Ste E, Atoka, TN 38004 | 2012-04-27 |
| 1043443526 | Comfort Solutions Sleep Services | Clinic/Center | 76 Capital Way Suite C, Atoka, TN 38004 | 2009-08-31 |
| 1770755134 | Cannon Chiropractic, Pllc | Chiropractor | 81 Atoka Mclaughlin, Suite B, Atoka, TN 38004 | 2008-03-26 |
| 1851365951 | Dana Poisal | Chiropractor | 60 Commercial Dr, Atoka Chiropractic Clinic, Atoka, TN 38004 | 2006-02-15 |
| 1619972338 | Philip Gordon Andre | Specialist | 11180 Hwy 51 N., Ste 3, Atoka, TN 38004 | 2005-06-17 |
| 1275538977 | Darl Vilbro Bell | Internal Medicine | 81 Atoka Mclaughlin Drive, Ste 1, Atoka, TN 38004 | 2005-06-17 |
| 1881932457 | Mid-south Foot and Ankle Specialists, Pllc | Non-Pharmacy Dispensing Site | 76 Capital Way, Suite E, Atoka, TN 38004 | 2013-01-16 |
| 1003916891 | Bell Internal Medicine PC | Legal Medicine | 81 Atoka Mclaughlin Drive, Ste 1, Atoka, TN 38004 | 2006-09-22 |
| 1932173036 | Samuel E Poisal Iv | Chiropractor | 60 Commercial Dr, Atoka Chiropractic Clinic, Atoka, TN 38004 | 2006-02-15 |
| 1124113832 | Muhammad Sohail Siddiq | Internal Medicine | 340 Atoka Mclaughlin Dr, Suite C, Atoka, TN 38004-4824 | 2006-10-04 |
| Find all providers in zip 38004 | ||||
| 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 |
|---|---|---|---|---|
| 1417566175 | Sandra Forrester | Technician | 1589 Gentry Creek Rd, Laurel Bloomery, TN 37680-4209 | 2020-07-29 |
| 1174141105 | Sherri Frittz-matz | Technician | 550 Trout Run Rd, Mountain City, TN 37683-8034 | 2020-07-07 |
| 1154946242 | Shalena Walton | Technician | 7136 E Chermont Cir, Knoxville, TN 37918-5524 | 2020-06-15 |
| 1194349142 | Barbara Sword | Technician | 105 Cherokee Ave, Church Hill, TN 37642-4514 | 2020-06-05 |
| 1164057618 | Cyndee Tilson | Technician | 6905 Mount Royal Blvd, Knoxville, TN 37918-9759 | 2020-03-05 |
| 1811520315 | Nancy Myers | Technician | 1001 Crest Dr, Jefferson City, TN 37760-3639 | 2020-02-13 |
| 1558994046 | Deborah Peaks | Technician | 2610 Plymouth Rd Apt 213, Johnson City, TN 37601-9302 | 2020-02-13 |
| 1760014542 | Janie Easter | Technician | 400 E Dunn St, Rockwood, TN 37854-2917 | 2020-02-10 |
| 1982236949 | Johnny M Byrge | Technician | 1005 Rose Hill Dr, La Follette, TN 37766-3962 | 2020-02-07 |
| 1992337968 | Jennifer Marie Ingle | Technician | 133 Valley Place Dr, Gray, TN 37615-3759 | 2020-02-07 |
| 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.