SHANE K DAVIS


Address: 4515 26th St W, Bradenton, FL 34207-7200
Phone: 2692824298

SHANE K DAVIS (NPI# 1689822686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689822686
Entity Type Individual
Full Name SHANE K DAVIS
Credential L.L.P.
Practice Address 4515 26th St W
Bradenton
FL 34207-7200
Practice Telephone 2692824298
Mailing Telephone 2692824298
Enumeration Date 2008-09-03
Last Update Date 2017-01-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
6301013040 MI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI LICENSE 6301013040 01

Other Providers SHANE DAVIS

NPI Name Taxonomy Address Enumeration
1275958696 Shane Davis Psychologist 1492 Liberty Pkwy Nw, Atlanta, GA 30318-9381 2014-02-21
1033170725 Shane Davis Physical Therapist 13040 State Route 12, Boonville, NY 13309-4942 2006-03-31
1164071379 Shane Davis Counselor 4532 Plank Rd, Fredericksburg, VA 22407-0139 2019-09-10
1013478759 Shane Randal Davis Adult Companion 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 2019-03-26
1134655673 Shane Robert Davis Emergency Medicine 1602 Skipwith Rd, Richmond, VA 23229-5205 2017-05-03
1295269736 Shane Michael Davis Student in an Organized Health Care Education/Training Program 101 The City Dr S Bldg 53, Orange, CA 92868-3201 2017-04-11

Office Location

Street Address 4515 26TH ST W
City BRADENTON
State FL
Zip Code 34207-7200

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932760543 Yaima Alba Dentist 1602 State Hwy 684 W, Bradenton, FL 34207 2019-06-25
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1710152673 Oasis Temps Health Care, Inc. Nursing Care 4814 26th Street West, Unit B, Bradenton, FL 34207 2008-04-22
1669694873 Comfortable Care Dental Health Professionals, Pa Dentist 6513 14th Street West, Suite 131, Bradenton, FL 34207 2007-05-03
1831258524 Susan Marie Mackey Counselor New View Counseling, 4506 26th Street West Suite C, Bradenton, FL 34207 2006-12-08
1073672333 Debra K Carter Psychologist 4835 27th St West, Suite 125, Bradenton, FL 34207 2006-12-06
1033285952 Neuromuscular Insitutute Inc Physical Therapist 4802 26th St West, Suite C, Bradenton, FL 34207 2006-11-24
1346315561 Judith Rhea Korn Social Worker 6108 26th St West, Suite 3b, Bradenton, FL 34207 2006-11-22
1770652018 Richard Allen Feasley Dentist 4418 5th St W, Bradenton, FL 34207 2006-11-08
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891029179 Tashawna K. Duncan, Ph.d., P.a. Psychologist 5245 Office Park Blvd Ste 105, Bradenton, FL 34203-3444 2009-09-19
1821208687 Marjorie Yvonne Anglin Psychologist 4200 32nd St W, Bradenton, FL 34205-2744 2007-05-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508465279 Ronald Mark Sherman Psychologist 10303 Sunrise Lakes Blvd # 212, Sunrise, FL 33322-5906 2020-10-22
1932708344 Courtney Anne Bass Psychologist 5736 Eggleston Avenue, Orlando, FL 32810 2020-10-19
1992318380 Dr Tina Goodin Enterprises Inc Psychologist Psychology Center of Palm Beach, 249 Royal Palm Way, Palm Beach, FL 33480 2020-08-26
1639781313 I.s. Keino Miller I Psychologist 1704 Beechwood Cir N, Tallahassee, FL 32301-6765 2020-08-23
1699391029 Claire Gordijn Psychologist 3426 Saddle Blvd, Orlando, FL 32826-3118 2020-06-22
1811519804 Soul Search Studios Psychologist 14360 Marrian Ave, Jupiter, FL 33458-6753 2020-05-12
1548894058 Magali Rodriguez Psychologist 191 W Grossenbacher Dr, Apopka, FL 32712-7031 2020-02-24
1497387211 Nida Aziz Psychologist 6885 B-5 Sw 18th St, Boca Raton, FL 33433 2020-02-10
1578194312 Daniel Luke Fioramonti Psychologist 2940 E Park Ave Ste 2c, Tallahassee, FL 32301-3446 2020-01-30
1902445687 Recovery Bay, LLC Psychologist 9721 Thomas Dr, Panama City Beach, FL 32408-3811 2019-12-30
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Competitor

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City BRADENTON
Zip Code 34207

Improve Information

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Dataset Information

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.

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