MARY A. DAVIS (NPI# 1851582357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851582357 |
| Entity Type | Individual |
| Full Name | MARY A. DAVIS |
| Credential | NP |
| Practice Address |
10212 N Greenwood Ln Hayward WI 54843-7220 |
| Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5703 |
| Practice Telephone | 7156346520 |
| Mailing Telephone | 7153875511 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2012-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3142 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457992562 | Mary L Davis | Technician | 9946 Tracy Rd, Atoka, TN 38004-7528 | 2019-10-01 |
| 1437646775 | Mary Teresa Davis | Massage Therapist | 158 S Houston Lake Rd Ste 3, Warner Robins, GA 31088-8018 | 2018-04-20 |
| 1992218648 | Mary Davis | Technician | 2801 14th St Nw Apt 517, Washington, DC 20009-4914 | 2017-11-15 |
| 1750807152 | Mary Ann Davis | Home Health Aide | 4506 Quarles St Ne Apt B2, Washington, DC 20019-2020 | 2017-08-17 |
| 1588186290 | Mary Ann Davis | Counselor | 472 W Paseo Rio Grande, Oro Valley, AZ 85737-6877 | 2017-07-13 |
| 1003356288 | Mary Amber Davis | Nurse Anesthetist, Certified Registered | 27 Wintergreen Way, Orlando, FL 32825-3649 | 2017-03-07 |
| 1770038093 | Mary E Davis | Nurse Practitioner | 2467b Diehl Dr, Tallahassee, FL 32308-3870 | 2016-08-16 |
| 1275914392 | Mary Katherine Davis | Dentist | 1903 Ep True Pkwy, West Des Moines, IA 50265-7000 | 2015-06-15 |
| 1427448463 | Mary Davis | Massage Therapist | 28186 Highway 74, Unit 7, Evergreen, CO 80439-5775 | 2015-01-29 |
| 1972845873 | Mary Joe Davis | Counselor | 130 Jessie St, Ellwood City, PA 16117-5408 | 2013-03-19 |
| Street Address |
10212 N GREENWOOD LN |
| City | HAYWARD |
| State | WI |
| Zip Code | 54843-7220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477584266 | Lisa M. Bratvold | Nurse Practitioner | 10212 N Greenwood Ln, Hayward, WI 54843-7220 | 2006-07-06 |
| 1528382355 | Marshfield Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 10212 N Greenwood Ln, Hayward, WI 54843-7220 | 2010-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1245687417 | Gary Girard | Counselor | 15655 W County Hwy B, Hayward, WI 54843 | 2016-05-18 |
| 1164844379 | Elizabeth Anne Johnson | Counselor | 10594 Main Street #1021, Hayward, WI 54843 | 2014-01-08 |
| 1376776922 | Amy Marilyn Billman | Massage Therapist | 11128n Highway 27/77, Hayward, WI 54843 | 2009-08-31 |
| 1700016516 | Kyra Rhodes Larson | Dentist | 15541w Hwy 77 East, Hayward, WI 54843 | 2009-07-15 |
| 1235383985 | Sara Jane Drost | Dental Hygienist | 15910 W Company Lake Road, Hayward, WI 54843 | 2008-11-07 |
| 1982856076 | Align Therapy,llc | In Home Supportive Care | 10767 Nyman Avenue, Hayward, WI 54843 | 2008-10-21 |
| 1316112477 | Michael John Larson | Hearing Instrument Specialist | 15612 Windrose Lane, #200, Hayward, WI 54843 | 2008-04-29 |
| 1679748966 | Gwendolyn Vinopal | Physical Therapist | 16014w Sleepy Hollow Drive, Hayward, WI 54843 | 2008-04-28 |
| 1558546523 | Ruth Anne Gillmor | Social Worker | 10610 Main, Hayward, WI 54843 | 2008-01-08 |
| Find all providers in zip 54843 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679122576 | Kimberley Ann Solis | Nurse Practitioner | 246 Bridgewater Rd, Hayward, CA 94544-6651 | 2019-09-04 |
| 1770061293 | Vasean Kavindra Patel | Nurse Practitioner | 1558 Welford Cir, Hayward, CA 94544-3295 | 2018-08-06 |
| 1902104250 | Sonja Demara Cahoon | Nurse Practitioner | 27287 Patrick Ave, Hayward, CA 94544-4405 | 2011-03-10 |
| 1477584266 | Lisa M. Bratvold | Nurse Practitioner | 10212 N Greenwood Ln, Hayward, WI 54843-7220 | 2006-07-06 |
| 1730721150 | Angela Pank | Nurse Practitioner | 11128 N State Road 77, Hayward, WI 54843-5332 | 2019-10-17 |
| 1629639984 | Tamana Mehdavi | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2019-06-26 |
| 1871922450 | Edrose Perez Retodo | Nurse Practitioner | 24301 Southland Drive, Suite 213, Hayward, CA 94542 | 2013-11-05 |
| 1912209560 | Melissa Elizabeth Chalot | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2010-12-01 |
| 1225280050 | Mary L. Van Vonderen | Nurse Practitioner | 11040 N State Road 77, Hayward, WI 54843-3606 | 2008-10-10 |
| 1609951391 | Melissa Stebbins Witaschek | Nurse Practitioner | 27303 Sleepy Hollow Avenue, Hayward, CA 94545-4203 | 2006-10-25 |
| Find all providers in HAYWARD | ||||
Please comment or provide details below to improve the information on MARY A. 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.