JENNIFER STARR DAVIS (NPI# 1790976330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790976330 |
| Entity Type | Individual |
| Full Name | JENNIFER STARR DAVIS |
| Other Name | JENNIFER STARR BOYER |
| Credential | PA-C |
| Practice Address |
340 Heald Way Ste 216 The Villages FL 32163-6088 |
| Practice Telephone | 3523997295 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2019-03-06 |
| NPI Deactivation Date | 02/22/2019 |
| NPI Reactivation Date | 2019-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9104207 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 4357 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RR MEDICARE | P01165507 | 01 |
| FL | FLORIDA BLUE (BCBS OF FL) | Y04VT | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8415 N Pima Rd Ste 212, Scottsdale, AZ 852584485 | 9414418270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423559 | Jennifer Annette Davis | Registered Nurse | 330 Harvest Mdw, Temple, TX 76502-5060 | 2020-09-29 |
| 1225640667 | Jennifer Lea Davis | Technician | 47 Hall St, Philippi, WV 26416-1292 | 2020-08-18 |
| 1285245688 | Jennifer Rae Davis | Technician | 139 Gauley Ave, Cowen, WV 26206-8690 | 2020-08-11 |
| 1053961441 | Jennifer Davis | Massage Therapist | 3161 Howell Mill Rd Nw Ste 330, Atlanta, GA 30327-2133 | 2019-09-17 |
| 1922579432 | Jennifer Jean Davis | Art Therapist | 165 Beach 116th St, Rockaway Park, NY 11694-2411 | 2018-12-09 |
| 1265949200 | Jennifer Jennings Davis | Nurse Practitioner | 2451 Fillingim Street Suite 10-i, Mobile, AL 36617-2293 | 2017-12-29 |
| 1477912053 | Jennifer Davis | Speech-Language Pathologist | 301 Toftrees Ave, 345, State College, PA 16803-2074 | 2016-02-11 |
| 1427421908 | Jennifer Davis | Counselor | 925 Country Club Rd, Argyle, TX 76226 | 2015-11-05 |
| 1235501172 | Jennifer Lynn Davis | Home Health Aide | 139 Johnson St, Marion, OH 43302-3316 | 2015-10-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| Street Address |
340 HEALD WAY STE 216 |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32163-6088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164958773 | Peepers Eyecare Inc | Technician/Technologist | 2478 Burnsed Blvd #466a, The Villages, FL 32163 | 2017-05-03 |
| 1710334800 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 695 Kristine Way, The Villages, FL 32163 | 2016-05-18 |
| 1396168571 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 2500 Burnsed Blvd, The Villages, FL 32163 | 2014-01-24 |
| 1023246527 | Charles F Knapp IIi | Dermatology | 2783 Brownwood Blvd, The Villages, FL 32163 | 2009-06-24 |
| 1508986035 | Robert Alan Harrison | Physical Therapist | 340 Heald Way Ste 100, The Villages, FL 32163 | 2007-03-29 |
| 1659318418 | Sue Allen Schueler | Nurse Practitioner | 2485 Pinellas Place, The Villages, FL 32163 | 2006-06-01 |
| 1740283761 | Thomas M Krizmanich | Orthopaedic Surgery | 2910 Brownwood Blvd., The Villages, FL 32163 | 2005-05-23 |
| 1891319422 | Dermatology Institute and Skin Cancer Center LLC | Dermatology | 2783 Brownwood Blvd, The Villages, FL 32163 | 2020-05-29 |
| 1336793561 | Tanya R Brown | Nurse Practitioner | 2485 Pinellas Pl, The Villages, FL 32163 | 2019-07-25 |
| 1033762588 | St Luke's At The Villages Brownwood Pa | Ophthalmology | 2955 Brownwood Blvd, The Villages, FL 32163 | 2019-07-23 |
| Find all providers in zip 32163 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386949733 | Jennifer Anne West | Physician Assistant | 352 East Cr 466, The Villages, FL 32159-4205 | 2011-01-17 |
| 1275636128 | Philomena Walker | Physician Assistant | 1950 Laurel Manor Dr Ste 224, The Villages, FL 32162-5602 | 2006-09-06 |
| 1255440475 | Scott Clark | Physician Assistant | 1503 Buenos Aires Blvd Ste 100, The Villages, FL 32159-6825 | 2006-08-30 |
| 1346891942 | Brian Paul Wisowaty | Physician Assistant | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2019-09-25 |
| 1639722887 | Troy Edward Black Pace | Physician Assistant | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2019-07-17 |
| 1376195677 | Katherine Rodriguez | Physician Assistant | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2019-07-16 |
| 1104485291 | Amanda Naumann | Physician Assistant | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2019-06-11 |
| 1861951246 | Sarah Marie Ely | Physician Assistant | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 | 2019-03-15 |
| 1083183826 | Sierra C Heptner | Physician Assistant | 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 | 2018-11-23 |
| 1528541166 | Sara Michele Rojek | Physician Assistant | 1503 Buenos Aires Blvd, The Villages, FL 32159-6821 | 2018-09-10 |
| Find all providers in THE VILLAGES | ||||
| City | THE VILLAGES |
| Zip Code | 32163 |
Please comment or provide details below to improve the information on JENNIFER STARR DAVIS.
| 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.