LATRESA CHAVAL DAVIS (NPI# 1912519091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912519091 |
| Entity Type | Individual |
| Full Name | LATRESA CHAVAL DAVIS |
| Credential | CRNP |
| Practice Address |
3737 Government Blvd Ste 408 Mobile AL 36693-4362 |
| Practice Telephone | 2516021911 |
| Practice Fax Number | 2516021850 |
| Mailing Telephone | 2516021911 |
| Mailing Fax Number | 2516021850 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-137115 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3737 GOVERNMENT BLVD STE 408 |
| City | MOBILE |
| State | AL |
| Zip Code | 36693-4362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265628887 | Hospice Complete, Inc | Hospice Care, Community Based | 826 Lakeside Drive, Mobile, AL 36693 | 2007-09-18 |
| 1982823548 | Eric Carey Dekle | Physical Therapist | 1220 Azalea Road, Mobile, AL 36693 | 2007-04-24 |
| 1528189198 | Roy Edward Kadel | Chiropractor | 3504 Shadow Wood Court, Mobile, AL 36693 | 2007-04-02 |
| 1578606174 | John P Kline | Psychologist | 5406 Spring Dr, Mobile, AL 36693 | 2007-02-14 |
| 1083751374 | Adeel Rabbani | Psychiatry & Neurology | 5750 A South Land Dr, Mobile Mental Health Center, Mobile, AL 36693 | 2007-01-30 |
| 1669541595 | Alison Rester Akridge | Dentist | 3977 Burma Rd, Mobile, AL 36693 | 2006-11-07 |
| 1376612200 | Skyline Family Dental Care PC | Dentist | 3977 Burma Road, Mobile, AL 36693 | 2006-11-07 |
| 1740373240 | Russell H. Porter | Physical Therapist | 2496 Muir Woods Dr West, Mobile, AL 36693 | 2006-10-02 |
| 1356390702 | Mobility Medical of North | Durable Medical Equipment & Medical Supplies | 3954 Demetropolis Rd, Mobile, AL 36693 | 2006-05-10 |
| 1043441041 | Renee' Huff | Social Worker | 5750a Southland Dr, Mobile, AL 36693 | 2009-08-07 |
| Find all providers in zip 36693 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124659487 | Shanita Peoples | Nurse Practitioner | 23 Midtown Park W Ste B-1, Mobile, AL 36606-4139 | 2020-01-27 |
| 1528327517 | Shera Annette Butt | Nurse Practitioner | 2060 Autumn Leaf Dr W, Mobile, AL 36695-8494 | 2012-05-10 |
| 1780975680 | Ashley Monique Flanagan | Nurse Practitioner | 11 N Water St Fl 10, Mobile, AL 36602-5010 | 2011-04-26 |
| 1487672465 | Tammy Lynn Pugh | Nurse Practitioner | 3 Mobile Infirmary Cir Ste 305, Building B, Suite 118, Mobile, AL 36607-3515 | 2006-07-17 |
| 1821642372 | Kathryn S Coletta | Nurse Practitioner | 100 Memorial Hospital Dr Ste 2a, Mobile, AL 36608-1199 | 2019-08-01 |
| 1083267967 | Mary Pearce Benfield | Nurse Practitioner | 1700 Center St, Mobile, AL 36604-3301 | 2019-07-19 |
| 1093272874 | Lawanda S Fantroy | Nurse Practitioner | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2019-02-27 |
| 1447724935 | Jennifer Hansmann Umbarger | Nurse Practitioner | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2019-01-17 |
| 1750863726 | Amy Rebecca Odom | Nurse Practitioner | 100 Memorial Hospital Dr Ste 1a, Mobile, AL 36608-1128 | 2018-09-05 |
| 1750869913 | Karli D Todd | Nurse Practitioner | 1855 Spring Hill Ave, Mobile, AL 36607-2301 | 2018-07-31 |
| Find all providers in MOBILE | ||||
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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.