MS. KATIE DAVIS (NPI# 1770974255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770974255 |
| Entity Type | Individual |
| Full Name | MS. KATIE DAVIS |
| Credential | CPHT |
| Practice Address |
2501 Lakewood Ln Mound MN 55364-1608 |
| Practice Telephone | 9524727814 |
| Mailing Telephone | 9524727814 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | 715458 | MN | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508493883 | Katie Marie Davis | Pediatrics | 5807 Fox Briar Way, Midlothian, VA 23112-6364 | 2020-03-25 |
| 1871900639 | Katie Shayna Davis | Clinical Neuropsychologist | 51 E 73rd St Ste 5b1, New York, NY 10021-3567 | 2014-07-14 |
| 1548576531 | Katie M Davis | Nurse Practitioner | 930 N Main St, Milan, IN 47031-8827 | 2010-08-27 |
| 1851588537 | Katie Patricia Davis | Social Worker | 119 Vivas Dr, Barnegat, NJ 08005-2593 | 2007-09-26 |
| 1508479361 | Katie M Davis | Nurse Practitioner | 5170 Us Route 60 East, Huntington, WV 25705 | 2020-08-31 |
| 1932723574 | Katie Davis | Dietitian, Registered | 7601 Osler Dr, Towson, MD 21204-7700 | 2020-05-29 |
| 1649737891 | Katie Taylor Davis | Registered Nurse | 1341 N Cashua Dr, Florence, SC 29501-6939 | 2019-02-25 |
| 1447721584 | Katie A Davis | Nurse Practitioner | 9800 Shelbyville Rd, Ste 220, Louisville, KY 40223-2992 | 2018-12-16 |
| 1609356245 | Katie Davis | Case Manager/Care Coordinator | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2018-08-14 |
| 1023596558 | Katie Marlene Davis | Pharmacist | 25 Brentwood Promenade Ct, Brentwood, MO 63144-1428 | 2018-08-06 |
| Street Address |
2501 LAKEWOOD LN |
| City | MOUND |
| State | MN |
| Zip Code | 55364-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992594 | Mary Kaye Guenther | Physical Therapy Assistant | 6670 Game Farm Rd, Mound, MN 55364 | 2018-05-18 |
| 1558893008 | Kirsten Eaton | Student in an Organized Health Care Education/Training Program | 945 Forest Arms Lanes, Mound, MN 55364 | 2017-04-03 |
| 1619322450 | Heidi Durant | Counselor | 2973 Hazelwood Lane, Mound, MN 55364 | 2016-04-29 |
| 1255720603 | Amanda S Myers | Speech-Language Pathologist | 940 Bayside Ln, Minnetrista, MN 55364 | 2015-01-22 |
| 1538447644 | Mary Bernadette Philp | Dentist | 5205 Shoreline Drive, Mound, MN 55364 | 2011-07-25 |
| 1659600088 | Thomas David Mazer | Anesthesiology | 560 North Arm Drive, Orono, MN 55364 | 2009-12-14 |
| 1205913282 | Robert A Lauer | Dentist | 5585 Shoreline Blvd, Mound, MN 55364 | 2006-11-01 |
| 1750470068 | Stephanie Lynn Miner | Dentist | West Lakes Dentistry, 5205 Shoreline Drive, Mound, MN 55364 | 2006-10-12 |
| 1194120519 | Stable Living LLC | Counselor | 6344 Rambler Ln, Mound, MN 55364-1043 | 2014-10-28 |
| 1386800977 | Debra Karen Kullberg | Marriage & Family Therapist | 1567 Bluebird Ln, Mound, MN 55364-1109 | 2008-08-02 |
| Find all providers in zip 55364 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093544 | Erica Ann Buchner | Specialist/Technologist, Other | 13397 Europa Ct N Unit 3, Hugo, MN 55038-4497 | 2020-11-08 |
| 1952755506 | Ashley Carlson | Specialist/Technologist, Other | 2125 Granite Dr, Shakopee, MN 55379-2978 | 2016-04-20 |
| 1720274830 | Robert Stephen Mccartney | Specialist/Technologist, Other | 3606 Beard Ave N, Robbinsdale, MN 55422-2308 | 2007-09-21 |
| 1982801973 | Sherry Marlene Rovig | Specialist/Technologist, Other | 1982 Lismore Rd, Duluth, MN 55804-3352 | 2007-07-02 |
| 1043336472 | Unity Healthnet | Specialist/Technologist, Other | 4494 Roosevelt Ln Nw, Walker, MN 56484-0000 | 2007-03-21 |
| 1700902962 | Joel M Stokka | Specialist/Technologist, Other | 4494 Roosevelt Lane Nw, Box 833, Walker, MN 56484-0000 | 2007-03-21 |
| 1538224100 | Jessica Jewel Hawley | Specialist/Technologist, Other | 6025 109th Ave N, Champlin, MN 55316-3475 | 2006-12-26 |
| 1376617373 | Tammy Cathleen Long | Specialist/Technologist, Other | 225 Smith Ave North #500, St Paul, MN 55102 | 2006-11-20 |
| 1942390497 | Beverly Elizabeth Bohrer | Specialist/Technologist, Other | 659 Montcalm Pl, Saint Paul, MN 55116-1735 | 2006-10-13 |
| 1164089447 | Sage Prairie Laboratory | Specialist/Technologist, Other | 1440 Duckwood Dr, Eagan, MN 55122-1451 | 2019-05-22 |
| 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.