MRS. KENDRAH JORDAN DAVIS (NPI# 1780934505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780934505 |
Entity Type | Individual |
Full Name | MRS. KENDRAH JORDAN DAVIS |
Credential | BHPP |
Practice Address |
3226 South Lakeside Drive Tucson AZ 85730 |
Mailing Address |
3226 S. Lakeside Dr. Tucson AZ 85730 |
Practice Telephone | 5204096566 |
Mailing Telephone | 5204096566 |
Enumeration Date | 2012-09-19 |
Last Update Date | 2012-09-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | 2485644 | AZ | Other Service Providers |
Street Address |
3226 SOUTH LAKESIDE DRIVE |
City | TUCSON |
State | AZ |
Zip Code | 85730 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871019927 | Jacques Boubeka | Behavior Technician | 9047 E Mayberry Dr, Tucson, AZ 85730 | 2017-08-21 |
1801266556 | Jennifer Budd | Nurse Practitioner | 2435 N. Castro Avenue, Tucson, AZ 85730 | 2015-10-06 |
1285037648 | Eden Huang | Physician Assistant | 6950 E Golf Links, Tucson, AZ 85730 | 2014-09-30 |
1881002376 | Chisom P Umogbai | Optometrist | 7046 E Golf Links Rd, Tucson, AZ 85730 | 2014-07-28 |
1720490154 | Integrity Counseling Services, Plc | Counselor | 11092 E. Placita Cumbia, Tucson, AZ 85730 | 2014-05-20 |
1619399276 | Karla J. Gracia | Counselor | 8050 E. Lakeside Pkwy, Tucson, AZ 85730 | 2014-01-15 |
1619287620 | Mukesh N Shah | Physician Assistant | 6455 E Nelson Dr, Tucson, AZ 85730 | 2010-10-12 |
1568770154 | Steven Fabian Wautlet | Pharmacist | 7771 E. Golf Links Road, Tucson, AZ 85730 | 2010-09-17 |
1033239942 | Franciso Garcia | Psychiatry & Neurology | 8050 East Lakeside Parkway, Cope Community Services, Inc., Tucson, AZ 85730 | 2007-04-02 |
1730206913 | Lynn F Stewart | Chiropractor | 8985 E Golf Links Rd, Tucson, AZ 85730 | 2007-03-23 |
Find all providers in zip 85730 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427672799 | Deborah Marie Winn | Contractor | 2960 N Swan Rd Ste 214, Tucson, AZ 85712-6020 | 2020-06-03 |
1073095840 | Rodney Johnson | Contractor | 6308 W Copper Leaf Dr, Tucson, AZ 85757-7539 | 2018-08-29 |
1861984841 | Esther Simmons | Contractor | 15918 N Forecastle Ave, Tucson, AZ 85739-9689 | 2018-06-05 |
1760992333 | Charity King | Contractor | 7502 E 33rd St, Tucson, AZ 85710-6006 | 2017-10-09 |
1598280562 | Margo Moore | Contractor | 2817 E Coconino Vis, Tucson, AZ 85713-4005 | 2017-08-10 |
1013445469 | Reina Fregoso | Contractor | 2183 E Calle Sierra Del Manantial, Tucson, AZ 85706-5090 | 2017-05-30 |
1942752530 | Guadalupe Aguirre | Contractor | 7135 S Providence Dr, Tucson, AZ 85757-6946 | 2016-10-28 |
1043769409 | Rebeca Hawkins | Contractor | 8639 N Kimball Way, Tucson, AZ 85743-5011 | 2016-09-27 |
1578019865 | Sarah Ann Roop | Contractor | 3920 E 5th St, Tucson, AZ 85711-1917 | 2016-08-28 |
1588118566 | Jonathan Oum | Contractor | 7162 E 19th St, Tucson, AZ 85710-4909 | 2016-08-08 |
Find all providers in TUCSON |
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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.