ANDREA CHRISTIAN DAVIS (NPI# 1578954574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578954574 |
| Entity Type | Individual |
| Full Name | ANDREA CHRISTIAN DAVIS |
| Practice Address |
26 Conns Lake Rd Se Lindale GA 30147-1440 |
| Practice Telephone | 7063311502 |
| Mailing Telephone | 7063311502 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174154488 | Andrea Marie Davis | Dental Assistant | 62 Area Naval Dental Clinic, Camp Pendleton, Apo, AA 92055 | 2020-01-27 |
| 1730537325 | Andrea Davis | Technician | 1152 Pinebrook Pkwy, Toledo, OH 43615-7003 | 2016-05-25 |
| 1982071130 | Andrea Davis | Counselor | 4303 Spring Oak Dr, San Antonio, TX 78219 | 2015-08-24 |
| 1376831024 | Andrea Marie Davis | Social Worker | 1030 Mcconville Rd, 7, Lynchburg, VA 24502-4555 | 2011-07-15 |
| 1083937833 | Andrea Lynn Davis | Massage Therapist | 161 E Olympic Ct, Allyn, WA 98524-9734 | 2010-03-08 |
| 1891024147 | Andrea Robin Davis | Dietitian, Registered | 9405 66th Ave, Rego Park, NY 11374-4631 | 2009-12-16 |
| 1457545030 | Andrea Davis | Registered Nurse | 2500 Charlotte Ave., Nashville, TN 37209 | 2007-08-28 |
| 1538351507 | Andrea Davis | Speech-Language Pathologist | 907 E Stillwell Ave, De Queen, AR 71832-2584 | 2007-08-14 |
| 1710196449 | Andrea Marie Davis | Physical Therapist | 1909 N 14th Ave, Dodge City, KS 67801-2364 | 2007-05-21 |
| 1902956246 | Andrea Davis | Pharmacist | Hwy 62 412, Midway Plaza, Hardy, AR 72542 | 2007-01-11 |
| Street Address |
26 CONNS LAKE RD SE |
| City | LINDALE |
| State | GA |
| Zip Code | 30147-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003116328 | Lindale Hometown Pharmacy LLC | Pharmacy | 3126 Maple Rd Se, Lindale, GA 30147-1307 | 2010-11-02 |
| 1447249842 | Redmond Physician Practice Company | Family Medicine | 3138 Maple Rd Se, Lindale, GA 30147-1309 | 2005-10-18 |
| 1003167156 | Highland Rivers Community Service Board | Community/Behavioral Health | 2271 Old Cedartown Hwy Se, Lindale, GA 30147-1744 | 2012-09-28 |
| 1730559683 | Catherine Casey | Social Worker | 59 Mulberry Ln Se, Lindale, GA 30147-2005 | 2015-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938346 | Kristen Christene Wright | Licensed Vocational Nurse | 906 Brad Cir, Lindale, TX 75771-6259 | 2020-10-02 |
| 1366057804 | Erin Elizabeth Hodge | Licensed Vocational Nurse | 204 W Bonnie St Unit B, Lindale, TX 75771-3202 | 2020-09-11 |
| 1851903645 | Jennifer Lynn Galysh | Speech-Language Pathologist | 16113 Rolling Meadows Dr, Lindale, TX 75771-5496 | 2020-08-21 |
| 1659981538 | Nina L Sprague | Pharmacist | 13213 Lauren Ln, Lindale, TX 75771-6909 | 2020-08-05 |
| 1043829336 | Jennifer Mingboupha | Licensed Practical Nurse | 509 Molly Ln, Lindale, TX 75771-6537 | 2020-07-23 |
| 1780201996 | Bethany Davidson | Licensed Vocational Nurse | 22227 Fm 16 W, Lindale, TX 75771-5402 | 2020-07-03 |
| 1114548203 | Joni Curry Barone | Registered Nurse | 16236 County Road 4197, Lindale, TX 75771-6343 | 2020-04-30 |
| 1609404995 | Shannon Finklea | Nurse Practitioner | 11454 Fm 2710, Lindale, TX 75771-7063 | 2020-03-31 |
| 1396371415 | James Russell Levee | Physical Therapist | 16911 Village Lake Dr, Lindale, TX 75771-5065 | 2020-03-20 |
| 1225669633 | Payton Williams | Specialist/Technologist | 14634 County Road 424, Lindale, TX 75771-7938 | 2020-02-04 |
| Find all providers in LINDALE | ||||
| 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 |
|---|---|---|---|---|
| 1225669633 | Payton Williams | Specialist/Technologist | 14634 County Road 424, Lindale, TX 75771-7938 | 2020-02-04 |
| 1407210743 | Sara Harry | Specialist/Technologist | 201a Summer Tree Cir, Lindale, TX 75771-5994 | 2016-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455959 | Mary Lee Richardson | Specialist/Technologist | 1591 Glenn Pl Sw, Mableton, GA 30126-1170 | 2020-10-25 |
| 1295332914 | Cayla Mckeon | Specialist/Technologist | 11 W 11th St Apt 17, Columbus, GA 31901-4239 | 2020-10-06 |
| 1205442472 | Si'ara Washington Farris | Specialist/Technologist | 564 Hillandale Park Dr, Lithonia, GA 30058-8833 | 2020-09-22 |
| 1033723150 | Grant Pheil | Specialist/Technologist | 3523 Old Penia Rd, Cordele, GA 31015-7714 | 2020-09-04 |
| 1376157933 | Jesus E Aviles | Specialist/Technologist | 755 Battery Ave Se, Atlanta, GA 30339-3017 | 2020-09-01 |
| 1588276943 | Jaden T Harris | Specialist/Technologist | 2205 Moncrieff St, Augusta, GA 30906-8905 | 2020-08-18 |
| 1891306437 | Tinasia Smalls | Specialist/Technologist | 100 Woodland Dr Apt 1416, Statesboro, GA 30458-6365 | 2020-08-16 |
| 1407467590 | Samantha Jean Libby | Specialist/Technologist | 2550 Akers Mill Rd Se Apt F14, Atlanta, GA 30339-3271 | 2020-08-12 |
| 1083224224 | John Christopher Hamil | Specialist/Technologist | 812 S Park St Ste 1, Carrollton, GA 30117-4412 | 2020-08-03 |
| 1780294926 | Andrew Alcantar | Specialist/Technologist | 7340 Fairmount Hwy Se, Calhoun, GA 30701-4023 | 2020-08-03 |
| 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.