Mara M Davis (NPI# 1790076883, PAC ID# 6406024017) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1790076883 |
| PAC ID by PECOS | 6406024017 |
| Professional Enrollment ID | I20190313002111 |
| Full Name | Mara M Davis |
| Address |
5901 Kingstowne Village Pkwy Suite 300 Alexandria VA 22315-5883 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5901 Kingstowne Village Pkwy, Suite 300, Alexandria, VA 22315-5883 |
| Street Address |
5901 KINGSTOWNE VILLAGE PKWY SUITE 300 |
| City | ALEXANDRIA |
| State | VA |
| Zip | 22315-5883 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naoji A Watson | Psychologist, Clinical | 5901 Kingstowne Village Pkwy, Suite 300, Alexandria, VA 22315-5883 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaime Diana Luciano | Chiropractic | 6474 Landsdowne Ctr, Alexandria, VA 22315-5003 | |
| Ann Marie T Simko | Physical Therapy | Back In Motion Physical Therapy LLC | 5695 King Centre Dr, Suite 102, Alexandria, VA 22315-5746 |
| Aileen C Andolino | Physical Therapy | Back In Motion Physical Therapy LLC | 5695 King Centre Dr, Suite 102, Alexandria, VA 22315-5746 |
| Kathleen K Middleton | Physical Therapy | Physical Therapy Your Way Pllc | 5695 King Centre Dr, Suite 102, Alexandria, VA 22315-5746 |
| Michelle Weidner | Physical Therapy | Back In Motion Physical Therapy LLC | 5695 King Centre Dr, Suite 102, Alexandria, VA 22315-5746 |
| Melinda G Ferrell | Physical Therapy | Back In Motion Physical Therapy LLC | 5695 King Centre Dr, Suite 102, Alexandria, VA 22315-5746 |
| City | ALEXANDRIA |
| Zip Code | 22315 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | ALEXANDRIA + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Please comment or provide details below to improve the information on Mara 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.