MRS. DIANE PRIVITOR DAVIS (NPI# 1891886024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891886024 |
| Entity Type | Individual |
| Full Name | MRS. DIANE PRIVITOR DAVIS |
| Credential | FNP-C, PMHNPBC |
| Practice Address |
1501 Stubbs Ave Monroe LA 71201-7120 |
| Mailing Address |
200 Winterpark Dr West Monroe LA 71292-1106 |
| Practice Telephone | 3188165116 |
| Practice Fax Number | 3188553429 |
| Mailing Telephone | 3185098008 |
| Mailing Fax Number | 3183291258 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP05002 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APO5002 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457146 | Diane Davis | Technician | 7420 Legacy Pointe, El Reno, OK 73036-9280 | 2019-09-27 |
| 1336662055 | Diane Davis | Home Health Aide | 768 East Mitchell Ave, Cincinnati, OH 45229 | 2017-07-25 |
| 1013356807 | Diane Davis | Counselor | 2803 W 37th St, 1st Floor, Brooklyn, NY 11224-1562 | 2013-06-14 |
| 1528370186 | Diane M Davis | Registered Nurse | 11819 Se William Otty Rd, Happy Valley, OR 97086-8290 | 2010-07-11 |
| 1952441149 | Diane Davis | Speech-Language Pathologist | 8050 Old Cr 54, New Port Richey, FL 34653-6457 | 2007-02-07 |
| 1285706309 | Diane Watkins Davis | Otolaryngology | 5201 Frederick St, Savannah, GA 31405-4501 | 2006-11-14 |
| 1114998184 | Diane Liberto Davis | Nurse Practitioner | Box 153, San Diego, CA 92136-5153 | 2006-01-30 |
| 1497301659 | Diane B Davis | Social Worker | 3 Blue Streak Blvd, Saratoga Springs, NY 12866-5967 | 2019-08-14 |
| 1205327996 | Diane C Davis | Registered Nurse | 115 Broadway, Dobbs Ferry, NY 10522-2835 | 2018-05-29 |
| 1154867299 | Diane Trevoledes Davis | Massage Therapist | 2910 Harris St, Eureka, CA 95503-4811 | 2017-01-12 |
| Street Address |
1501 STUBBS AVE |
| City | MONROE |
| State | LA |
| Zip Code | 71201-7120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750672390 | Therapeutic Medical & Psychiatric Services LLC. | Nurse Practitioner | 1501 Stubbs Ave, Monroe, LA 71292-1106 | 2011-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| 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 |
|---|---|---|---|---|
| 1053838680 | Simply Sound Mind, LLC | Nurse Practitioner | 300 Washington St Ste 208, Monroe, LA 71201-6762 | 2017-08-24 |
| 1083755300 | Maureen Diane Cook | Nurse Practitioner | 731 Main St Ste 122, Monroe, CT 06468-2872 | 2007-02-09 |
| 1609482488 | Queshaun Svante Sudbury | Nurse Practitioner | 2513 Ferrand St, Monroe, LA 71201-3210 | 2020-09-17 |
| 1235744608 | Debbie Jean Pierce | Nurse Practitioner | 2404 Duval Dr, Monroe, LA 71201-2986 | 2020-09-13 |
| 1912539099 | Xin Wu | Nurse Practitioner | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2020-02-06 |
| 1295385276 | Pamela Felicia Nelome | Nurse Practitioner | 709 Breedlove Dr, Monroe, GA 30655-2055 | 2019-09-12 |
| 1376197194 | Keeley Claire Russ | Nurse Practitioner | 1105 Hudson Ln, Monroe, LA 71201-6003 | 2019-07-30 |
| 1437643608 | Joshua Valinsky | Nurse Practitioner | 731 Main St Ste 122, Monroe, CT 06468-2872 | 2018-06-20 |
| 1396239224 | Kristen Coles Johnson | Nurse Practitioner | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2018-06-14 |
| 1033636188 | Michelle Neyer | Nurse Practitioner | 1001 S Raisinville Rd, Monroe, MI 48161-0726 | 2017-08-29 |
| Find all providers in MONROE | ||||
Please comment or provide details below to improve the information on MRS. DIANE PRIVITOR 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.