MARIAN DAVIS (NPI# 1669890281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669890281 |
| Entity Type | Individual |
| Full Name | MARIAN DAVIS |
| Practice Address |
100 Ballygar St Apt M Clarksville TN 37043-2800 |
| Practice Telephone | 9314947689 |
| Mailing Telephone | 9314947689 |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043559032 | Marian L Davis | Technician/Technologist | 2351 Erwin Rd, Durham, NC 27710-4699 | 2013-02-11 |
| Street Address |
100 BALLYGAR ST APT M |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699202457 | Jelessa Lashae Crosby-powell | Community Based Residential Treatment Facility, Mental Illness | 2010 Tynewood Dr, Clarksville, TN 37042-5284 | 2017-05-11 |
| 1902260805 | Sharon Gilgenast | Community Based Residential Treatment Facility, Mental Illness | 1279 Cloverdale Dr, Clarksville, TN 37040-4714 | 2016-04-07 |
| 1689040289 | Shemeka Lajuana Jenkins | Community Based Residential Treatment Facility, Mental Illness | 118 Union Stret, Clarksville, TN 37040 | 2015-08-18 |
| 1437409620 | Shanice Renee Stewart | Community Based Residential Treatment Facility, Mental Illness | 3369 Durrett Dr, Apt. 73, Clarksville, TN 37042-8630 | 2012-09-14 |
| 1366835381 | Lindsey Harper | Community Based Residential Treatment Facility, Mental Illness | 118 Union St, Clarksville, TN 37040-5115 | 2015-03-16 |
| 1851700272 | Lena Cantrell | Community Based Residential Treatment Facility, Mental Illness | 118 Union St, Clarksville, TN 37040-5115 | 2014-08-11 |
| 1194144238 | Lastacia Peele | Community Based Residential Treatment Facility, Mental Illness | 118 Union St, Clarksville, TN 37040-5115 | 2014-04-15 |
| 1841623543 | Esther Washington | Community Based Residential Treatment Facility, Mental Illness | 118 Union St, Clarksville, TN 37040-5115 | 2013-08-16 |
| 1306197215 | Sylvia Rose Smith | Community Based Residential Treatment Facility, Mental Illness | 118 Union St, Clarksville, TN 37040-5115 | 2012-10-02 |
| 1689954117 | Terry Bailey Nix Jr | Community Based Residential Treatment Facility, Mental Illness | 118 Union St, Clarksville, TN 37040-5115 | 2011-08-29 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
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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.