MRS. LAURA ANN DAVIS (NPI# 1780691063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780691063 |
| Entity Type | Individual |
| Full Name | MRS. LAURA ANN DAVIS |
| Other Name | MISS LAURA ANN NIZER |
| Credential | P.A. |
| Practice Address |
12221 Renfert Way Ste 300 Austin TX 78758-5453 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 5128738900 |
| Practice Fax Number | 5128348676 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 5128348676 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA04491 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA04491 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS OF TEXAS | 8N8469 | 01 |
| TX | 190535803 | 05 | |
| TX | 190535804 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880616 | Laura Johnetta Davis | Technician | 52 Trap Springs Rd, Grafton, WV 26354-7711 | 2020-10-29 |
| 1184233827 | Laura Davis | Physical Therapist | 1602 Sw Lantern Ave, Port Saint Lucie, FL 34953-2503 | 2020-07-29 |
| 1407412414 | Laura Davis | Physical Therapist | 803 W 16th St, Houston, TX 77008-3523 | 2019-05-15 |
| 1295210714 | Laura J Davis | Social Worker | 1149 E Slocum St, Philadelphia, PA 19150-3122 | 2018-10-01 |
| 1821532052 | Laura Davis | Speech-Language Pathologist | 1430 West Sunset Drive, Taylorville, IL 62568-1293 | 2016-12-07 |
| 1346797883 | Laura Rhoda Davis | Occupational Therapist | 10 Mesa Sea Rd, Arroyo Hondo, NM 87513 | 2016-09-01 |
| 1295113595 | Laura Davis | Registered Nurse | 355 W Duck Creek Rd, Clayton, DE 19938-7712 | 2015-05-07 |
| 1699194431 | Laura Davis | Counselor | 4366 Coddle Creek Dr, Concord, NC 28027-8570 | 2014-04-09 |
| 1407100431 | Laura A Davis | Speech-Language Pathologist | 9367 Homeside Dr, Indianapolis, IN 46250-1474 | 2012-10-29 |
| 1669755385 | Laura Lee Davis | Social Worker | 80 West St, Danbury, CT 06810-6531 | 2011-09-20 |
| Street Address |
12221 RENFERT WAY STE 300 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-5453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982661674 | Shubhada S. Shrikhande | Internal Medicine | 12221 Renfert Way Ste 300, Austin, TX 78758-5453 | 2006-04-27 |
| 1710491295 | Oncology Pharmacy Service, Inc | Pharmacy | 12221 Renfert Way Ste 300, Austin, TX 78758-5453 | 2017-11-20 |
| 1124358791 | Patricia Serna | Physician Assistant | 12221 Renfert Way Ste 300, Austin, TX 78758-5453 | 2010-01-05 |
| 1467548628 | Allison Elaine Gorrebeeck | Internal Medicine | 12221 Renfert Way Ste 300, Austin, TX 78758 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1962988329 | Aucutt Surgical Services, Pllc | Physician Assistant | 6705 Melava Ct, Austin, TX 78749-6924 | 2018-07-18 |
| 1114307907 | Facilitate Surgical, Pllc | Physician Assistant | 2110 W Slaughter Ln Ste 107, #395, Austin, TX 78748-5978 | 2015-06-05 |
| 1265834220 | Heidi Burns | Physician Assistant | 3201 Esperanza Xing, Apt 237, Austin, TX 78758-7858 | 2014-09-22 |
| 1861812273 | Deborah Louise Sheffield | Physician Assistant | 13333 Black Canyon Dr, Austin, TX 78729-7482 | 2014-04-24 |
| 1508102559 | Gator Pa 1st Assist, LLC | Physician Assistant | 10900 Stonelake Blvd Ste A-320, Austin, TX 78759-5833 | 2012-12-19 |
| 1972853596 | Gileana Santana | Physician Assistant | 2200 Park Bend Drive, Bldg 2, Suite 201, Austin, TX 78758 | 2012-09-11 |
| 1952698524 | Sarah Marie Elmer | Physician Assistant | 6818 Austin Center Blvd Ste 204, Austin, TX 78731-3100 | 2011-07-05 |
| 1811221617 | Ryan Douglas Lester | Physician Assistant | 4611 Guadalupe Street, Suite 200, Austin, TX 78704 | 2009-09-25 |
| 1710150958 | Lauren Murdock Aseron | Physician Assistant | 6500 Mopac Expwy, Ste. 2207, Austin, TX 78731-4306 | 2008-04-09 |
| Find all providers in AUSTIN | ||||
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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.