PEGGY J DAVIDSON (NPI# 1679583793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679583793 |
| Entity Type | Individual |
| Full Name | PEGGY J DAVIDSON |
| Credential | CRNP |
| Practice Address |
455 Rice Rd Ste 108 #108 Tyler TX 75703-3604 |
| Mailing Address |
108 Fenton Rd Longview TX 75604-1119 |
| Practice Telephone | 9039390799 |
| Practice Fax Number | 9039390799 |
| Mailing Telephone | 9039390799 |
| Mailing Fax Number | 9039390799 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 249499 | TX | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 175568801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497156574 | Peggy Davidson | Counselor | 876 Signal Way, Coos Bay, OR 97420-2237 | 2014-09-09 |
| Street Address |
455 RICE RD STE 108 #108 |
| City | TYLER |
| State | TX |
| Zip Code | 75703-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912550617 | Carmen Janay Snipes | Licensed Practical Nurse | 1717 Shiloh Rd Apt 238, Tyler, TX 75703-2448 | 2019-07-22 |
| 1568930956 | Piedad Azalia Pineda | Licensed Practical Nurse | 2927 Van Hwy, Tyler, TX 75702-2647 | 2018-11-05 |
| 1053928465 | Kimberly Mills | Licensed Practical Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-09-29 |
| 1346891058 | Pennye Sheridan | Licensed Practical Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2019-09-24 |
| 1093361321 | Vongretshun Smith-gross | Licensed Practical Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2019-08-13 |
| 1578046330 | Susan Eileen West | Licensed Practical Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2018-09-07 |
| 1720564214 | Gertrude Ring | Licensed Practical Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-07-17 |
| 1023504396 | Tiffany Williams | Licensed Practical Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-07-10 |
| 1437659125 | Lacresha Danyell Youngblood | Licensed Practical Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2018-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234500 | Ka'leria Cunningham | Licensed Practical Nurse | 442 Carroll Ave, Wake Village, TX 75501-5733 | 2020-10-27 |
| 1073113387 | Tiffiany Hansen | Licensed Practical Nurse | 163 County Road 1856, Chico, TX 76431-3429 | 2020-10-27 |
| 1538769740 | Kerri Kathleen Benavides | Licensed Practical Nurse | 2424 Wilcrest Dr Ste 100, Houston, TX 77042-2753 | 2020-10-27 |
| 1144828740 | Gabriella M Carrillo | Licensed Practical Nurse | 1712 E 13th St, Monahans, TX 79756-2129 | 2020-10-15 |
| 1366040198 | Michelle Merritt Gary | Licensed Practical Nurse | 118 Merritt Ln, Hemphill, TX 75948-3137 | 2020-10-14 |
| 1508464652 | Ariana Wilson | Licensed Practical Nurse | 1125 Elm St, Abilene, TX 79602-3718 | 2020-10-12 |
| 1962009431 | Victoria A Jernigan | Licensed Practical Nurse | 250 County Road 4311, Hondo, TX 78861-5035 | 2020-10-07 |
| 1558968271 | Dana Marie Griffin | Licensed Practical Nurse | 9747 Harbor Mist Ln, Converse, TX 78109-1836 | 2020-10-06 |
| 1184221772 | Coretta Renee Thomas | Licensed Practical Nurse | 1204 G W Jackson Ave, Corsicana, TX 75110-5604 | 2020-10-06 |
| 1194322032 | Flor Karime Jurado | Licensed Practical Nurse | 1410 Cowan Street, Pecos, TX 79772 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PEGGY J DAVIDSON.
| 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.