MS. PRECIOUS EBONY DAVIS (NPI# 1952915159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952915159 |
| Entity Type | Individual |
| Full Name | MS. PRECIOUS EBONY DAVIS |
| Other Name | MRS. PRECIOUS EBONY FLENORY |
| Credential | CPS |
| Practice Address |
1119 Richmond Ave Kansas City KS 66104-5945 |
| Mailing Address |
312 Sw Greenwich Dr Ste 626 Lees Summit MO 64082-4408 |
| Practice Telephone | 9132904110 |
| Practice Fax Number | 8165378605 |
| Mailing Telephone | 9136020106 |
| Mailing Fax Number | 8165378605 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | KS | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952833089 | Precious Davis | Registered Nurse | 900 S 74th Plz, Omaha, NE 68114-4675 | 2017-03-29 |
| Street Address |
1119 RICHMOND AVE |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66104-5945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154757078 | Jacob Thomas Brownback | Student in an Organized Health Care Education/Training Program | 4628 Lafayette Ave, Kansas City, KS 66104 | 2013-09-24 |
| 1649238221 | Vishal K Adma | Psychiatry & Neurology | 4300 Brenner Drive, Kansas City, KS 66104 | 2006-05-03 |
| 1629049929 | Josetta Eliese Wahwassuck | Nurse Practitioner | 4300 Brenner Dr, Kvc Prairie Ridge Hospital, Kansas City, KS 66104 | 2006-01-27 |
| 1093191017 | Kvc Hospitals Inc | Psychiatric Hospital | 4300 Brenner Drive, Kansas City, KS 66104 | 2015-07-31 |
| 1578876801 | Sadiq Naveed | Psychiatry & Neurology | 4300 Brenner Dr, Kansas City, KS 66104 | 2010-07-15 |
| 1750397733 | Joyce E Dorssom | Nurse Practitioner | 8919 Parallel Parkway, Suite 555, Kansas City, KS 66104 | 2006-07-31 |
| 1497125470 | Prescription Management Associates | Pharmacy | 4300 Brenner Dr Ste 200, Kansas City, KS 66104-1163 | 2015-10-02 |
| 1205484219 | Sarah Diane Kassin | Nurse Practitioner | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2019-09-03 |
| 1881197986 | Tricia Lea Felin | Nurse Practitioner | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2018-03-14 |
| 1639696743 | Jessica Collins Fairchilds | Nurse Practitioner | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2017-08-29 |
| Find all providers in zip 66104 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926006 | Poetry for Personal Power | Peer Specialist | 1730 E 63rd St, Suite 300, Kansas City, MO 64110 | 2020-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952852147 | Kyle Spencer | Peer Specialist | 2017 S Chautauqua Ave, Wichita, KS 67211-5615 | 2016-10-22 |
| 1821610643 | Callow Binah Louise Phoenix | Peer Specialist | 4015 Sw 21st St, Topeka, KS 66604-3412 | 2020-05-14 |
| 1962034017 | Ryan Funk | Peer Specialist | 2500 W 31st St Ste G, Lawrence, KS 66047-3051 | 2020-02-06 |
| 1417449083 | Gerald Michael Ottenwalder | Peer Specialist | 420 Kennedy St, Burlington, KS 66839-1120 | 2018-05-30 |
| City | KANSAS CITY |
| Zip Code | 66104 |
Please comment or provide details below to improve the information on MS. PRECIOUS EBONY 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.