Kathleen M Davis (NPI# 1093751778, PAC ID# 1254370083) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1093751778 |
| PAC ID by PECOS | 1254370083 |
| Professional Enrollment ID | I20050429000861 |
| Full Name | Kathleen M Davis |
| Organization Legal Name | NORTHWEST HEALTH SERVICES INC |
| Address |
1515 Saint Joseph Ave Saint Joseph MO 64505-2631 |
| Phone Number | 8162333338 |
| Gender | F |
| Credential | NP |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7113835174 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260006 | MOSAIC LIFE CARE AT ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 1515 Saint Joseph Ave, Saint Joseph, MO 64505-2631 | 8162333338 | NORTHWEST HEALTH SERVICES INC |
| 2303 Village Dr, Saint Joseph, MO 64506-4954 | 8163236818 | NORTHWEST HEALTH SERVICES INC |
| 5026 Faraon St, Saint Joseph, MO 64506-3375 | 8162791591 | NORTHWEST HEALTH SERVICES INC |
| Organization Legal Name | NORTHWEST HEALTH SERVICES INC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Merri C Leach | Registered Dietitian Or Nutrition Professional | Northwest Health Services Inc | 2303 Village Dr, Saint Joseph, MO 64506-4954 |
| April I Wamsley | Nurse Practitioner | Northwest Health Services Inc | 303 S Us Hwy 169, Gower, MO 64454-9116 |
| Bethany A Randles | Nurse Practitioner | Northwest Health Services Inc | 503 S 6th St, Downtown Health Center, Saint Joseph, MO 64501-2224 |
| Rachel E Lessor | Nurse Practitioner | Northwest Health Services Inc | 5026 Faraon St, Saint Joseph, MO 64506-3375 |
| Brittany S Mace | Nurse Practitioner | Northwest Health Services Inc | 5001 Lake Ave, Saint Joseph, MO 64504-1170 |
| Darci L Feiden | Nurse Practitioner | Northwest Health Services Inc | 1303 State St, Mound City, MO 64470-1717 |
| Francisco J Aleman | Family Medicine | Northwest Health Services Inc | 803 W 71 Hwy, Savannah, MO 64485-1151 |
| Debra C Pankau | Nurse Practitioner | Northwest Health Services Inc | 305 Rhode Island St, King City, MO 64463-9622 |
| Merlin D Brown | Family Medicine | Northwest Health Services Inc | 2303 Village Dr, Saint Joseph, MO 64506-4954 |
| Sarah L Knorr | Nurse Practitioner | Northwest Health Services Inc | 5026 Faraon St, Saint Joseph, MO 64506-3375 |
| Street Address |
1515 SAINT JOSEPH AVE |
| City | SAINT JOSEPH |
| State | MO |
| Zip | 64505-2631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Michael Kline | Clinical Social Worker | Northwest Health Services Inc | 1515 Saint Joseph Ave, Saint Joseph, MO 64505-2631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan A Vega | Family Medicine | 8 Country Club Rd, Country Club, MO 64505-1014 | |
| Jennifer A Solas | Clinical Social Worker | Midamericare Limited Liability Company | 3002 N 18th St, Saint Joseph, MO 64505-1872 |
| Richaille J Smith | Physical Therapy | Genesis Eldercare Rehabilitation Services LLC | 3302 N Woodbine Rd, Saint Joseph, MO 64505-9323 |
| Catherine M Childs | Physical Therapy | Genesis Eldercare Rehabilitation Services LLC | 3302 N Woodbine Rd, Saint Joseph, MO 64505-9323 |
| Alexandra N Luedke | Qualified Speech Language Pathologist | Genesis Eldercare Rehabilitation Services LLC | 3302 N Woodbine Rd, Saint Joseph, MO 64505-9323 |
| Janet S Smith | Physical Therapy | Genesis Eldercare Rehabilitation Services LLC | 3302 N Woodbine Rd, Saint Joseph, MO 64505-9323 |
| Kasey L Parkman | Physical Therapy | Genesis Eldercare Rehabilitation Services LLC | 3302 N Woodbine Rd, Saint Joseph, MO 64505-9323 |
| Crystal S Theis | Physical Therapy | Genesis Eldercare Rehabilitation Services LLC | 3302 N Woodbine Rd, Saint Joseph, MO 64505-9323 |
| Amy R Cole | Physical Therapy | Genesis Eldercare Rehabilitation Services LLC | 3302 N Woodbine Rd, Saint Joseph, MO 64505-9323 |
| Emily C White | Speech Language Pathologist | Genesis Eldercare Rehabilitation Services LLC | 3302 N Woodbine Rd, Saint Joseph, MO 64505-9323 |
| Find all physicians in zip 64505 | |||
| City | SAINT JOSEPH |
| Zip Code | 64505 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAINT JOSEPH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kathleen M Davis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.