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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
6301013040 | MI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | LICENSE | 6301013040 | 01 |
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 |
Street Address |
4515 26TH ST W |
City | BRADENTON |
State | FL |
Zip Code | 34207-7200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932760543 | Yaima Alba | Dentist | 1602 State Hwy 684 W, Bradenton, FL 34207 | 2019-06-25 |
1770069361 | America's Pharmacy LLC. | Pharmacy | 5612 14th St W, Bradenton, FL 34207 | 2018-07-17 |
1265817829 | Elizabeth Anne Gross Baumgartner | Nurse Practitioner | 5515 27th St West, Bradenton, FL 34207 | 2015-07-24 |
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 |
Find all providers in zip 34207 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
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 |
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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 |
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.