IDA DAVIS (NPI# 1528108370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528108370 |
| Entity Type | Individual |
| Full Name | IDA DAVIS |
| Practice Address |
1094 Toulon Rd Wathena KS 66090-4078 |
| Practice Telephone | 7859893676 |
| Mailing Telephone | 7859893676 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| X | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114320165 | Ida Davis | Counselor | 570 West Cheyenne Avenue, North Las Vegas, NV 89030 | 2014-10-06 |
| 1790038867 | Ida Jane Davis | Speech-Language Pathologist | 8826 Santa Fe Dr, Suite #303, Overland Park, KS 66212-3655 | 2012-10-26 |
| Street Address |
1094 TOULON RD |
| City | WATHENA |
| State | KS |
| Zip Code | 66090-4078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306234505 | Jennifer Olson | Occupational Therapist | 2112 Hihgway 36, Wathena, KS 66090 | 2014-12-23 |
| 1265659072 | Mary Ann Woodruff | Technician | 405 Fremont, Wathena, KS 66090 | 2007-04-20 |
| 1043313331 | William P. Feuerbacher | Chiropractor | 210 St. Joseph Street, Wathena, KS 66090 | 2006-09-05 |
| 1144255092 | Wathena Healthcare and Rehabilitation Center, LLC | Skilled Nursing Facility | 2112 Highway 36, Wathena, KS 66090 | 2006-07-11 |
| 1871990622 | Jordan Lee Bauman | Chiropractor | 210 E Saint Joseph St, Wathena, KS 66090-1268 | 2014-11-21 |
| 1780221812 | Bauman Chiropractic LLC | Chiropractor | 210 E Saint Joseph St, Wathena, KS 66090-1268 | 2019-12-09 |
| 1427002534 | Back To Health Chiropractic, P.a. | Chiropractor | 324 Saint Joseph St, Wathena, KS 66090-1280 | 2006-05-22 |
| 1255535266 | Heather A Cluck | Chiropractor | 324 Saint Joseph St, Wathena, KS 66090-1280 | 2007-06-13 |
| 1376931600 | Jennifer Sharp | Physical Therapy Assistant | 1852 210th Rd, Wathena, KS 66090-4065 | 2015-01-09 |
| 1841823473 | Willow | Assisted Living Facility | 2125 Highway 36, Wathena, KS 66090-4126 | 2020-02-21 |
| Find all providers in zip 66090 | ||||
| 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 |
|---|---|---|---|---|
| 1265659072 | Mary Ann Woodruff | Technician | 405 Fremont, Wathena, KS 66090 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231102 | Dorothy Jean Duensing-herrs | Technician | 407 6th St, Linn, KS 66953-9013 | 2020-09-24 |
| 1871106740 | Stevie Jonae Metts | Technician | 1207 E Del Mar St, Wichita, KS 67216-1535 | 2020-08-28 |
| 1174166870 | Diane Lorraine Anderson-morris | Technician | 14097 Huntington Ln, Leavenworth, KS 66048-7288 | 2019-10-25 |
| 1316589641 | Kathleen E Lust | Technician | 3420 Pin Oak Dr, St. George, KS 66535 | 2019-10-08 |
| 1841841160 | Jo Ann Staley | Technician | 12477 S Ellsworth St, Olathe, KS 66062-4970 | 2019-09-27 |
| 1013568039 | Sandra D Clark | Technician | 718 W 14th St, Junction City, KS 66441-2129 | 2019-09-20 |
| 1871143230 | Barry Oden | Technician | 305 Brown A Ve, Osawatomie, KS 66064 | 2019-09-18 |
| 1235789561 | Raeann Mae Davidson | Technician | 304 E Washington Ave, Medicine Lodge, KS 67104-1425 | 2019-09-18 |
| 1144870619 | Diane Delois Taylor | Technician | 3619 Sw Kirklawn Ave, Topeka, KS 66611 | 2019-09-17 |
| 1598314700 | Teressa Ann Williams | Technician | 24089 J Ter, Wakeeney, KS 67672-2719 | 2019-09-10 |
| 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.