MRS. LONETTA ELISE DAVIS (NPI# 1508903261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508903261 |
| Entity Type | Individual |
| Full Name | MRS. LONETTA ELISE DAVIS |
| Practice Address |
349 Se Plamblad Gresham OR 97080 |
| Mailing Address |
349 Se Plamblad Dr. Gresham OR 97080 |
| Practice Telephone | 5039330848 |
| Mailing Telephone | 5039330848 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| Street Address |
349 SE PLAMBLAD |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1275679896 | Alicia Marie Curtiss | Case Manager/Care Coordinator | 1911 Se Night Heron Place, Gresham, OR 97080 | 2007-01-30 |
| Find all providers in zip 97080 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598256224 | Krystle Anderson | Adult Companion | 4289 Sw Battaglia Pl, Gresham, OR 97080-8645 | 2018-05-29 |
| 1801123062 | Dwayne Ramos | Adult Companion | 208 Ne Cleveland Ave, Gresham, OR 97030-7900 | 2009-11-09 |
| 1295889855 | Renee Marie Sellman | Adult Companion | 4101 Ne Division St, Suite 100, Gresham, OR 97030-4617 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590035 | Holly Marie Smith | Adult Companion | 4849 Sedona Dr, Eugene, OR 97404-3309 | 2019-10-27 |
| 1184271462 | Taylor Salter | Adult Companion | 7018 N Armour St, Portland, OR 97203-6132 | 2019-08-21 |
| 1235785429 | Lonzall Tatum | Adult Companion | 1212 Sw Clay St Apt 409, Portland, OR 97201-7822 | 2019-08-13 |
| 1336700848 | Blake Gibson Whitaker | Adult Companion | 2005 Sw Leewood Dr, Aloha, OR 97003-2104 | 2019-06-25 |
| 1205303021 | Imani Anderson | Adult Companion | 434 Ne Roselawn St, Portland, OR 97211-3826 | 2018-10-30 |
| 1275013195 | Brandon Stephen Lime | Adult Companion | 3516 Nw Coronado St, Corvallis, OR 97330-4695 | 2018-08-20 |
| 1780184879 | Zoe Rose Littlebury Oftedal | Adult Companion | 1500 Valley River Dr, Eugene, OR 97401-2130 | 2018-02-15 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1104364900 | Rosanna Hunnicutt | Adult Companion | 2601 Se 160th Ave, Portland, OR 97236-2092 | 2017-02-01 |
| 1043755028 | Raolat Ajibade IIi | Adult Companion | 847 N.e 19thave, Portland, OR 97232 | 2016-12-29 |
| 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.