MS. YVONNE LORELLE DAVIS (NPI# 1942730023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942730023 |
| Entity Type | Individual |
| Full Name | MS. YVONNE LORELLE DAVIS |
| Credential | NURSE PRACTITIONER I |
| Practice Address |
482 Black River Pkwy Watertown NY 13601-2416 |
| Practice Telephone | 3157821777 |
| Practice Fax Number | 3157858628 |
| Mailing Telephone | 3157821777 |
| Mailing Fax Number | 3157858628 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
653726-1 | NY | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
402154 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7550 S State St, Lowville, NY 133671574 | 3153765450 | 3153767221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164933446 | Yvonne Davis | Social Worker | 915 Delview Dr, Folcroft, PA 19032-1707 | 2017-10-13 |
| 1578941662 | Yvonne Davis | Home Health Aide | 9124 Lemona Dr, Affton, MO 63123-5527 | 2015-05-11 |
| 1134496581 | Yvonne Theresa Davis | Occupational Therapist | 21270 Chase Dr, Novi, MI 48375-4752 | 2011-11-29 |
| 1336232727 | Yvonne Maureen Davis | Physical Therapist | 3622 Shoreview Ln, Missouri City, TX 77459-5059 | 2006-09-30 |
| 1588132047 | Yvonne Davis | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2018-11-02 |
| 1225579733 | Yvonne Davis | Massage Therapist | 111 S West St, Suite 5, Dover, DE 19904-3219 | 2017-03-16 |
| 1659817583 | Yvonne K Davis | Community Health Worker | 560 Quileute Heights, Quileute Health Center, La Push, WA 98350 | 2017-01-17 |
| 1366986143 | Yvonne Davis | Social Worker | 1017 Fayetteville Rd Se, Suite B, Atlanta, GA 30316-2932 | 2016-12-13 |
| 1962640664 | Yvonne V Davis | Social Worker | 321 E Tremont Ave, Bronx, NY 10457-5304 | 2009-02-03 |
| 1255437463 | Yvonne Maddela Davis | Nurse Practitioner | 471 Klutey Park Plaza Dr, Henderson, KY 42420-3347 | 2006-09-15 |
| Street Address |
482 BLACK RIVER PKWY |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215990015 | Donald W Mott | Social Worker | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2006-04-11 |
| 1992353437 | Ashlee Anne Weldon | Case Manager/Care Coordinator | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2019-08-28 |
| 1982264727 | Dari Frezzo | Licensed Practical Nurse | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2019-06-14 |
| 1164994794 | Desiree Michelle Torres Colon | Case Manager/Care Coordinator | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2018-12-20 |
| 1457823171 | Donny Joe Chouinard | Case Manager/Care Coordinator | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2018-12-19 |
| 1568931293 | Leon Lansing Dickinson | Counselor | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2018-11-26 |
| 1518486281 | Melissa Beagle | Social Worker | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2017-09-14 |
| 1801315833 | Rebecca Hicks | Social Worker | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2017-09-11 |
| 1689197055 | Michelle Ann Bartlett | Social Worker | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2017-07-18 |
| 1891224457 | Jordan Flath | Licensed Practical Nurse | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2017-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| 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 |
|---|---|---|---|---|
| 1659920890 | Zachary Ryan Lynch | Nurse Practitioner | 211 Jb Wise Place, Watertown, NY 13601-2507 | 2019-09-10 |
| 1891353587 | Erin Lee Phinney | Nurse Practitioner | 482 Black River Parkway, Watertown, NY 13601-2413 | 2019-05-29 |
| 1831441344 | Linda Macqueen | Nurse Practitioner | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2012-10-08 |
| 1285827915 | Jessica B Howell | Nurse Practitioner | 286 Arlington St, Watertown, MA 02472-3510 | 2007-08-27 |
| 1841304656 | Carol Coy | Nurse Practitioner | 144 Eastern Blvd, Watertown, NY 13601-3132 | 2006-08-18 |
| 1982225256 | Chika Francess Egorho | Nurse Practitioner | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2020-04-28 |
| 1588215156 | Rise Up Behavioral Health Services LLC | Nurse Practitioner | 76 Westbury Park Rd, Watertown, CT 06795-2779 | 2019-09-25 |
| 1417515552 | Kourtney K Darrow | Nurse Practitioner | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2019-06-04 |
| 1528534138 | Martha Shirley Labarr | Nurse Practitioner | 830 Washington St, Watertown, NY 13601-4034 | 2018-10-22 |
| 1851743124 | Brandy Baillargeon | Nurse Practitioner | 167 Polk St, Suite 300, Watertown, NY 13601-2097 | 2016-07-11 |
| Find all providers in WATERTOWN | ||||
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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.