NICOLE DAVIS (NPI# 1851777619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851777619 |
| Entity Type | Individual |
| Full Name | NICOLE DAVIS |
| Credential | APN |
| Practice Address |
1301 E 47th St # 2 Chicago IL 60653-4507 |
| Practice Telephone | 7734938212 |
| Mailing Telephone | 7734938212 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
209012841 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747524 | Nicole C Davis | Licensed Vocational Nurse | 2316 Tierra Chica Way, El Paso, TX 79938-4429 | 2019-12-15 |
| 1396210605 | Nicole Joy Davis | Registered Nurse | 2970 Pawnee Ct, Redding, CA 96001-3482 | 2018-10-12 |
| 1972086957 | Nicole Lynne Davis | Social Worker | 4507 N Ravenswood Ave Ste 111, Chicago, IL 60640-5218 | 2018-09-14 |
| 1881103935 | Nicole Davis | Physical Therapy Assistant | 1949 W Ray Rd Ste 23, Chandler, AZ 85224-4008 | 2017-09-21 |
| 1215471545 | Nicole Davis | Specialist/Technologist | 404 Juniper Dr, West Mifflin, PA 15122-1236 | 2016-12-05 |
| 1679932321 | Nicole Davis | Nurse Practitioner | 5206 W Village Pkwy Ste 10, Rogers, AR 72758-8137 | 2016-02-22 |
| 1386915627 | Nicole Elaine Davis | Pharmacist | 4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116-2975 | 2012-01-18 |
| 1154656023 | Nicole Patrich Davis | Counselor | 1862 Princeton Ave # 206, College Park, GA 30337-3519 | 2009-10-12 |
| 1518107648 | Nicole Jeanette Davis | Occupational Therapist | 11310 Horton Rd, Goodrich, MI 48438-9497 | 2009-03-02 |
| 1477728012 | Nicole Marie Davis | Counselor | 3961 Foothill Rd, Santa Barbara, CA 93110-1207 | 2008-04-24 |
| Street Address |
1301 E 47TH ST # 2 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60653-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215804 | Pamela Ann Brazelton-sykes | Counselor | Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 | 2020-04-30 |
| 1962915439 | Pickup Transport Lllp | Non-emergency Medical Transport (VAN) | 4418 S. Oakenwald Ave, Chicago, IL 60653 | 2017-11-07 |
| 1245758309 | Qi Wellness LLC | Case Management | 525 E 46th Place, Chicago, IL 60653 | 2017-09-08 |
| 1598202897 | Fadesire O Ajuwon | Registered Nurse | 4218 S King Dr, 1n, Chicago, IL 60653 | 2017-01-24 |
| 1013464619 | Roundys Supermarkets Inc | Pharmacy | 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 | 2016-09-01 |
| 1417384793 | Griffin Orthodontics PC | Dentist | 1040 E 47th Street, Chicago, IL 60653 | 2013-10-02 |
| 1114350659 | Carita Dale Johnson | Pharmacist | 3753 S. Cottage Grove Ave, 104, Chicago, IL 60653 | 2013-08-20 |
| 1245677848 | Mercy Diagnostic and Treatment Center | Clinic/Center | 3755 S Cottage Grove, Chicago, IL 60653 | 2013-05-23 |
| 1952745937 | Mercy Community Pharmacy At Oakwood Shores | Pharmacy | 3753 S. Cottage Grove, Chicago, IL 60653 | 2013-04-22 |
| 1386952315 | Jami S Little | Developmental Therapist | 617 East 41st, Chicago, IL 60653 | 2010-09-24 |
| Find all providers in zip 60653 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021248 | Elizabeth Horan | Nurse Practitioner | 125 S Green St Apt 1005a, Chicago, IL 60607-3717 | 2020-04-07 |
| 1205471083 | Sylvia Coleman | Nurse Practitioner | 20 W Kinzie St Ste 17, Chicago, IL 60654-6393 | 2019-11-15 |
| 1194374637 | Elena Ignatiev | Nurse Practitioner | 1626 W Farwell Ave Apt 3g, Chicago, IL 60626-3641 | 2019-09-07 |
| 1083276703 | Rachel H Prokopf | Nurse Practitioner | 1150 W 15th St Unit 335, Chicago, IL 60608-3691 | 2019-07-02 |
| 1962922062 | Cristina Herico Roy | Nurse Practitioner | 5600 W Addison St # 210, Chicago, IL 60634-4401 | 2017-06-21 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1497203434 | Maria Pullappally Sayi | Nurse Practitioner | 3445 N Central Ave Ste C, Chicago, IL 60634-4420 | 2016-09-20 |
| 1770947368 | Jose Francis Placido Enriquez | Nurse Practitioner | 934 W Cuyler Ave, Unit 1b, Chicago, IL 60613-4363 | 2016-04-08 |
| 1497155998 | Aneesha Taylor | Nurse Practitioner | 1701 W Monterey Ave Ste 9, Chicago, IL 60643-4257 | 2014-09-03 |
| 1366474603 | Kristina Ashley Stevens | Nurse Practitioner | 2416 W Berteau Ave, Chicago, IL 60618-2804 | 2006-07-07 |
| Find all providers in CHICAGO | ||||
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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.