MRS. KENISHA LA'TRECE DAVIS (NPI# 1528236650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528236650 |
| Entity Type | Individual |
| Full Name | MRS. KENISHA LA'TRECE DAVIS |
| Credential | NP |
| Practice Address |
6632 State Road 48 Maineville OH 45039 |
| Mailing Address |
3421 Bevis Ave Cincinnati OH 45207-1611 |
| Practice Telephone | 5138862367 |
| Practice Fax Number | 5138862367 |
| Mailing Telephone | 5138862367 |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2018-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN286523 | OH | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP 17420 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | NP LICENSE | NP 17420 | 01 |
| OH | RN LICENSE | RN 286523-1 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619511383 | Kenisha Davis | Specialist/Technologist, Other | 2944 N Stage Plz, Bartlett, TN 38134-3705 | 2019-11-05 |
| 1033604954 | Kenisha Davis | Nurse Practitioner | 18232 Ridgewood Ave, Lansing, IL 60438-3024 | 2018-06-23 |
| 1780179077 | Kenisha Davis | Case Manager/Care Coordinator | 525 E Home Rd, Springfield, OH 45503-2861 | 2018-06-28 |
| Street Address |
6632 STATE ROAD 48 |
| City | MAINEVILLE |
| State | OH |
| Zip Code | 45039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341784 | Jill Johnson | Pharmacist | 2966 Pine Grove Ln., Address Line 2, Maineville, OH 45039 | 2020-06-19 |
| 1508495094 | Improved Life Home Care LLC | Home Health | 2575 W. Us. Rt 22 - 3, Maineville, OH 45039 | 2020-04-06 |
| 1306470133 | Alyssa M Mattson | Pharmacist | 2900 W Sr 22&3, Maineville, OH 45039 | 2020-03-02 |
| 1801384060 | Dream Family Dental - Shin Young Yang, Dmd, LLC | Dentist | 45 E Us Route 22, Maineville, OH 45039 | 2018-04-24 |
| 1760979058 | Dream Family Dental - Shin Young Yang, Dmd, LLC | Clinic/Center | 45 E Us Route 22 & 3, Maineville, OH 45039 | 2018-04-23 |
| 1689172165 | Tammy Lynn Morneau | Behavioral Analyst | 7264 Columbia Rd Ste 1000, Mason, OH 45039 | 2018-01-30 |
| 1205351269 | Kimberly Hensley | Speech-Language Pathologist | 7247 Zoar Rd., Maineville, OH 45039 | 2017-08-10 |
| 1265953715 | Leslie Erin Ealy | Registered Nurse | 233 Bannock Dr, Maineville, OH 45039 | 2017-07-05 |
| 1760929103 | Mortenson Family Dental Center - Maineville LLC | Dentist | 6028 South State Road 48, Maineville, OH 45039 | 2017-01-24 |
| 1013379494 | Suzzanne Helphinstine | Physical Therapist | 7952 Acorn Trail, Maineville, OH 45039 | 2016-03-24 |
| Find all providers in zip 45039 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538598107 | Kellie Lyn Birchmeier | Nurse Practitioner | 6632 S State Route 48, Maineville, OH 45039-9758 | 2013-11-04 |
| 1629453576 | Rebecca Mackenzie Moates | Nurse Practitioner | 67 Nunner Rd, Maineville, OH 45039-9632 | 2015-07-21 |
| 1952704579 | Quyen Phan | Nurse Practitioner | 6632 S State Route 48, Maineville, OH 45039-9758 | 2014-09-28 |
| 1306260195 | Tara Bolsinger | Nurse Practitioner | 87 E Us Highway 22 and 3, Suite 800, Maineville, OH 45039-7841 | 2014-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184681 | Madison Baxter | Nurse Practitioner | 2730 Hyde Park Ave, Cincinnati, OH 45209-2004 | 2020-11-06 |
| 1932700937 | Caroline V Murrey | Nurse Practitioner | 109 Ratcliff Ln, Plain City, OH 43064-8662 | 2020-11-05 |
| 1134720154 | Anthonia Ndali Chukwudelunzu | Nurse Practitioner | 20 Rocky Top Ct, Maple Heights, OH 44137-4760 | 2020-11-05 |
| 1275134801 | Abram James Basinger | Nurse Practitioner | 3956 Sparkhill Dr, Enon, OH 45323-1436 | 2020-11-02 |
| 1780284091 | Tana Darniece Williams | Nurse Practitioner | 513 Harris Rd, Richmond Heights, OH 44143-2539 | 2020-10-27 |
| 1174123335 | Heidi Archer | Nurse Practitioner | 52003 Peck Wadsworth Rd, Wellington, OH 44090-9725 | 2020-10-27 |
| 1114526662 | Angelina Fiszlewicz | Nurse Practitioner | 69 Bayberry Ln, Monroe, OH 45050-2521 | 2020-10-25 |
| 1851990600 | Brandy Baker | Nurse Practitioner | 494 Yorkshire Dr, Newark, OH 43055-1522 | 2020-10-22 |
| 1538768445 | Ashley Nicole Morgan | Nurse Practitioner | 15099 State Route 170, East Liverpool, OH 43920-9598 | 2020-10-21 |
| 1881293082 | Sommer Saddler | Nurse Practitioner | 2120 Hampstead Rd, Cleveland Heights, OH 44118-2509 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | MAINEVILLE |
| Zip Code | 45039 |
Please comment or provide details below to improve the information on MRS. KENISHA LA'TRECE DAVIS.
| 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.