TARA L DAVIS (NPI# 1821118530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821118530 |
| Entity Type | Individual |
| Full Name | TARA L DAVIS |
| Credential | CNP, LPCC-S |
| Practice Address |
625 Cleveland Ave Nw Canton OH 44702-1805 |
| Practice Telephone | 3304550374 |
| Practice Fax Number | 3304536716 |
| Mailing Telephone | 3304550374 |
| Mailing Fax Number | 3304536716 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
E.0008189-SUPV | OH | Behavioral Health & Social Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN.CNP.023645 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0315885 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1207 W State St Ste M, Alliance, OH 446014686 | 3308218407 | 3308218506 |
| 130 1st St Nw, Massillon, OH 446475452 | 3308330234 | 3308377705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447867395 | Tara Davis | Clinic/Center | 4405 June Ave, Saint Louis, MO 63121-3232 | 2020-09-24 |
| 1922621788 | Tara L Davis | Home Health Aide | 1228 Howison Pl Sw, Washington, DC 20024-4132 | 2020-05-27 |
| 1649460080 | Tara Patricia Davis | Nurse Practitioner | 1000 Corporate Pointe Ste 120, Warner Robins, GA 31088-3440 | 2007-08-01 |
| 1801381579 | Tara Davis | Nurse Practitioner | 2245 N State St, Clarksdale, MS 38614-6102 | 2018-06-26 |
| 1003331372 | Tara Lynn Davis | Acupuncturist | 3663 College St Se Ste F, Lacey, WA 98503-2303 | 2017-08-08 |
| 1659805844 | Tara Davis | Counselor | 25 Gap Rd, Batesville, AR 72501-8679 | 2017-04-14 |
| 1134403710 | Tara Aileen Davis | Pharmacist | 4890 Barksdale Blvd, Bossier City, LA 71112-4566 | 2011-09-30 |
| 1013290923 | Tara B Davis | Counselor | 101 E 6th St, Erie, PA 16501-1201 | 2011-09-27 |
| 1528387172 | Tara Leigh Davis | Counselor | 450 N Melrose Dr, Vista, CA 92083-4816 | 2010-05-21 |
| 1407010077 | Tara D Davis | Social Worker | 500 8th Ave, Suite 906, New York, NY 10018-6504 | 2008-07-14 |
| Street Address |
625 CLEVELAND AVE NW |
| City | CANTON |
| State | OH |
| Zip Code | 44702-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669451167 | Samantha J Posey | Counselor | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2006-01-12 |
| 1972140184 | Kaitlyn Tanner Ring | Community Health Worker | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2019-12-06 |
| 1295383503 | Naomi Rumano | Counselor | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2019-08-29 |
| 1033766845 | Ronnie Lynn Turpin | Counselor | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2019-08-26 |
| 1427605955 | Tiana Lee Hochstetler | Counselor | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2019-08-20 |
| 1154978690 | Heather Leigh Morris | Counselor | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2019-08-20 |
| 1952958480 | Jennifer Lynn Coss | Counselor | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2019-08-20 |
| 1871154989 | Julia A Mcdonald | Counselor | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2019-06-28 |
| 1659938496 | Lianna C Mueller | Counselor | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2019-05-28 |
| 1740846732 | Kaitlyn R Schmucker | Counselor | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2019-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138390 | Angela Rhoad | Peer Specialist | Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 | 2019-01-15 |
| 1710426291 | Aaron Valentine | Community Health Worker | 401 West Tuscarawas Street, Suite 501, Canton, OH 44702 | 2017-02-17 |
| 1386028389 | Leigh Fotheringham | Skilled Nursing Facility | 800 Market Ave. North, Canton, OH 44702 | 2015-07-20 |
| 1427485127 | Canton College Preparatory School | Local Education Agency (LEA) | 101 Cleveland Avenue Nw, Canton, OH 44702 | 2013-09-26 |
| 1730337197 | Linda Lee Gemma | Registered Nurse | 733 Market St South, Canton, OH 44702 | 2008-08-28 |
| 1447372875 | Rushina Anil Patel | Physical Therapist | 800 Market Ave N, Canton, OH 44702 | 2007-04-05 |
| 1124183702 | John Mannos | Family Medicine | 333 2nd St Se, Canton, OH 44702 | 2006-12-26 |
| 1629556949 | Judy Chava | Nurse Practitioner | 400 Tuscarawas St W, Canton, OH 44702 | 2018-07-30 |
| 1407359656 | Reginald A Corner | Case Manager/Care Coordinator | 401 Tuscarawas St W Ste 501, Canton, OH 44702 | 2018-03-14 |
| 1609378322 | Nicole Osborne | Peer Specialist | 624 Market Ave N, Canton, OH 44702 | 2018-03-08 |
| Find all providers in zip 44702 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922666866 | Bright Minds Psychiatry,pllc | Nurse Practitioner | 575 Washington St Ste 1b, Canton, MA 02021-3011 | 2019-06-05 |
| 1366914970 | Nancy Louise Bennett | Nurse Practitioner | 328 E Otto St, Canton, MS 39046-4324 | 2018-12-20 |
| 1790227544 | Priscilla Anne Rice | Nurse Practitioner | 1271 Fulton Rd Nw, Canton, OH 44703-1463 | 2016-11-10 |
| 1306824784 | Kathy E Green | Nurse Practitioner | 80 State St # 310, Canton, NY 13617-1026 | 2006-01-05 |
| 1053944298 | Megen Yerman | Nurse Practitioner | 624 Market Ave N, Canton, OH 44702-1017 | 2020-02-17 |
| 1285279901 | Grace Elizabeth Maxton | Nurse Practitioner | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2019-11-18 |
| 1417502535 | Tiffany Nichol Brown | Nurse Practitioner | 1223 Market Ave N, Canton, OH 44714-2603 | 2019-08-06 |
| 1568022051 | Christopher Fogarty | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2019-06-17 |
| 1184105223 | Elizabeth Pfalzgraf | Nurse Practitioner | 919 2nd St Ne, Canton, OH 44704-1132 | 2018-08-27 |
| 1629556949 | Judy Chava | Nurse Practitioner | 400 Tuscarawas St W, Canton, OH 44702 | 2018-07-30 |
| Find all providers in CANTON | ||||
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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.