SANDRA STEWART DAVIS (NPI# 1770890154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770890154 |
| Entity Type | Individual |
| Full Name | SANDRA STEWART DAVIS |
| Credential | RD |
| Practice Address |
1421 N. State St., Suite 203 Jackson MS 39202-1658 |
| Practice Telephone | 6013551234 |
| Practice Fax Number | 6017182778 |
| Mailing Telephone | 6013551234 |
| Mailing Fax Number | 6017182778 |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | D0943 | MS | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730700709 | Sandra Davis | Licensed Vocational Nurse | 713 Stafford St Apt 37, Folsom, CA 95630-2845 | 2020-04-30 |
| 1689172918 | Sandra Hope Davis | Social Worker | 275 Pine Valley Rd, Berea, KY 40403-9544 | 2018-02-01 |
| 1629338496 | Sandra Davis | Specialist | 55 W 129th St, Apt. Gb, New York, NY 10027-2270 | 2012-05-25 |
| 1972860054 | Sandra Ellen Davis | Physical Therapist | 3509 Nw 53rd Ter, Gainesville, FL 32606-5803 | 2012-04-13 |
| 1437422862 | Sandra L Davis | Nurse Practitioner | 18007 Brooke Farm Dr, Olney, MD 20832-1517 | 2012-02-15 |
| 1164738704 | Sandra Barrall Davis | Speech-Language Pathologist | 58 Neitz Rd, Northumberland, PA 17857 | 2010-08-20 |
| 1992026942 | Sandra Patton Davis | Social Worker | 2120 Rutherford Rd, Marion, NC 28752-5367 | 2010-06-14 |
| 1851619308 | Sandra Ann Davis | Counselor | 216 Copper Mountain Dr, Fenton, MO 63026-5679 | 2010-05-07 |
| 1841521192 | Sandra Jean Davis | Specialist | 7209 Comanche Ln Sw, Olympia, WA 98512-9230 | 2010-01-27 |
| 1841465564 | Sandra P Davis | Specialist | 953 Ne 9th St, Grants Pass, OR 97526-1606 | 2008-04-23 |
| Street Address |
1421 N. STATE ST., SUITE 203 |
| City | JACKSON |
| State | MS |
| Zip Code | 39202-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427780 | Ronald Dwayne Woods | Dietitian, Registered | 1 Ashton Gardens Dr, Jackson, MS 39211-4275 | 2020-11-02 |
| 1033720081 | Allison Kay Lopeman | Dietitian, Registered | 3120 Mccain Rd, Jackson, MI 49203-2506 | 2020-08-13 |
| 1477177723 | Samantha Jo Rogers | Dietitian, Registered | 117 Vanden St Apt 303, Jackson, TN 38301-5638 | 2020-06-02 |
| 1477185817 | Debra Ann Schumer | Dietitian, Registered | 1616 County Road 318, Jackson, MO 63755-8072 | 2020-02-04 |
| 1053956847 | Tori Onita Mincemeyer | Dietitian, Registered | 2630 Old Orchard Rd, Jackson, MO 63755-3824 | 2019-11-15 |
| 1588172829 | Mary K Brighton | Dietitian, Registered | 27 S Cooks Bridge Rd Ste 2-3, Jackson, NJ 08527-2524 | 2018-01-22 |
| 1538673447 | Miriam Benedikt | Dietitian, Registered | 4 Danielle Ct, Jackson, NJ 08527-2928 | 2017-11-30 |
| 1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
| 1912431958 | Angela Raleigh | Dietitian, Registered | 955 Highway 30 W, Jackson, KY 41339-7846 | 2017-04-17 |
| 1134576267 | Candice O'hare | Dietitian, Registered | 1217 Chamberlain Dr, Jackson, MO 63755-2940 | 2016-05-18 |
| Find all providers in JACKSON | ||||
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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.