MR. BENJAMIN DREW DAVIS (NPI# 1518460740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518460740 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN DREW DAVIS |
| Credential | ATC |
| Practice Address |
1200 Magnolia Way Blue Springs MS 38828-6000 |
| Mailing Address |
2804 Confederate Ave Tupelo MS 38801-4104 |
| Practice Telephone | 6623173229 |
| Practice Fax Number | 6623173216 |
| Mailing Telephone | 6623974415 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000018226 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780233916 | Benjamin Davis | Nurse Practitioner | 2563 N 11th Ave, Hanford, CA 93230-1464 | 2019-09-10 |
| 1922578988 | Benjamin Harold Davis Jr. | Behavior Technician | Swans Consulting, 20 N Dewitt Ave, Clovis, CA 93612 | 2018-12-03 |
| 1952813966 | Benjamin Davis | Clinical Exercise Physiologist | 36824 Sunnydale St, Livonia, MI 48154-1727 | 2017-10-31 |
| 1356789531 | Benjamin Phillip Davis | Behavioral Analyst | 1126 Breezy Ln, Berea, KY 40403-8659 | 2013-06-10 |
| 1043573595 | Benjamin Davis | Family Medicine | 1401 Madison St Ste 400, Seattle, WA 98104-1316 | 2012-06-20 |
| 1407467178 | Benjamin H Davis | Physical Therapist | 55 Shuman Blvd Ste 700, Naperville, IL 60563-8422 | 2020-08-14 |
| 1245790138 | Benjamin Bracey Davis | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Ste 401, Lawrenceville, GA 30046-4303 | 2019-03-25 |
| 1245798479 | Benjamin Davis | Physical Medicine & Rehabilitation | 100 N Academy Ave, Danville, PA 17822-9800 | 2019-03-06 |
| 1912491754 | Benjamin K Davis | Dentist | 2300 N Hills St, Meridian, MS 39305-2633 | 2018-06-15 |
| 1558850933 | Benjamin Nathaniel Davis | Chiropractor | 1602 W Avenue A, Temple, TX 76504 | 2018-05-01 |
| Street Address |
1200 MAGNOLIA WAY |
| City | BLUE SPRINGS |
| State | MS |
| Zip Code | 38828-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770890980 | Debra J Thomas | Physical Therapist | 1200 Magnolia Way, Blue Springs, MS 38828-6000 | 2010-09-09 |
| 1699375170 | Amanda Shipman | Pharmacist | 1200 Magnolia Way, Blue Springs, MS 38828-6000 | 2020-10-26 |
| 1669037958 | Wal-mart Stores East, Lp | Pharmacy | 1200 Magnolia Way, Blue Springs, MS 38828-6000 | 2019-05-02 |
| 1073063376 | Andrew Mcdonald | Physical Therapist | 1200 Magnolia Way, Blue Springs, MS 38828-6000 | 2016-10-11 |
| 1972868016 | Ryan Neal Willis | Specialist/Technologist | 1200 Magnolia Way, Progressive Health (esi), Blue Springs, MS 38828-6000 | 2012-07-04 |
| 1669781852 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 1200 Magnolia Way, Blue Springs, MS 38828-6000 | 2010-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457830887 | Victoria Kilpatrick | Social Worker | 1130 Tuscumbia Rd, Blue Springs, MS 38828-8133 | 2018-08-07 |
| 1215038039 | Transicare, LLC | Hospice Care, Community Based | 1536 Highway 9 S, Blue Springs, MS 38828-9004 | 2006-09-26 |
| 1821555293 | Amanda L Frederick | Social Worker | 2283 Highway 348, Blue Springs, MS 38828-9016 | 2019-02-21 |
| 1083004022 | Christina Shelton | Nurse Practitioner | 1151 County Road 197, Blue Springs, MS 38828-9142 | 2015-01-29 |
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871057109 | Luke A Schweizer | Specialist/Technologist | 3120 S Bradford Ln, Blue Springs, MO 64015-7342 | 2019-01-31 |
| 1730583956 | Elizabeth Harrison | Specialist/Technologist | 4012 Sw 8th Ter Apt C, Blue Springs, MO 64015-6397 | 2014-10-17 |
| 1619005451 | Scott Trusty | Specialist/Technologist | 2000 Nw Ashton Dr, Blue Springs, MO 64015-1769 | 2007-03-02 |
| 1497125314 | Courtney Nicole Wohlwend | Specialist/Technologist | 1225 S 7 Hwy, Blue Springs, MO 64014-3539 | 2015-10-05 |
| 1972868016 | Ryan Neal Willis | Specialist/Technologist | 1200 Magnolia Way, Progressive Health (esi), Blue Springs, MS 38828-6000 | 2012-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817895 | Thaxton Sullivan | Specialist/Technologist | 3 Courtland Dr Apt 50, Hattiesburg, MS 39402-8186 | 2020-09-24 |
| 1114532587 | David Vincent Hughes Jr. | Specialist/Technologist | 1 Priority Plaza, West Point, MS 39773 | 2020-09-13 |
| 1194333484 | Rebbecca Alister Ruckes | Specialist/Technologist | 741 Cr 503, Ripley, MS 38663-3866 | 2020-07-22 |
| 1164049102 | Catherine Meredith Pendergast | Specialist/Technologist | 36 Hill Dr., University, MS 38677 | 2020-06-25 |
| 1972137685 | Pamela Sue Ezell | Specialist/Technologist | 920 Cedar Lake Rd Ste C, Biloxi, MS 39532-2107 | 2020-03-03 |
| 1629600606 | Weldon Meng | Specialist/Technologist | 1084 Looxahoma Tyro Rd, Senatobia, MS 38668-6518 | 2020-02-07 |
| 1295374536 | Celia Shields | Specialist/Technologist | 1776 Brookhaven Dr, Southaven, MS 38671-3554 | 2020-01-03 |
| 1396384947 | Natasha Lea Hayes | Specialist/Technologist | 254 Springhill Rd, Laurel, MS 39443-7874 | 2019-12-30 |
| 1184263048 | Keizia Davidson | Specialist/Technologist | 153 Ripon Ct, Ridgeland, MS 39157-1265 | 2019-12-24 |
| 1730726530 | Stephen Thompson | Specialist/Technologist | 2816 Jim St, Tupelo, MS 38801-6763 | 2019-11-30 |
| Find all providers with the same taxonomy | ||||
| City | BLUE SPRINGS |
| Zip Code | 38828 |
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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.