MR. JEREMY DAVIS (NPI# 1013980333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013980333 |
| Entity Type | Individual |
| Full Name | MR. JEREMY DAVIS |
| Credential | L.A.T. |
| Practice Address |
4110 22nd Pl Lubbock TX 79410-1122 |
| Mailing Address |
5718 37th St Lubbock TX 79407-4013 |
| Practice Telephone | 8067924329 |
| Practice Fax Number | 8067950986 |
| Mailing Telephone | 8067973137 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT2035 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518208206 | Jeremy Keith Davis | Counselor | 8200 Humboldt Ave S Ste 100, Bloomington, MN 55431-1433 | 2013-03-06 |
| 1013291210 | Jeremy Davis | Pharmacist | 9285 Halls Ferry Rd., Jennings, MO 63136 | 2011-10-06 |
| 1538156062 | Jeremy Franklin Davis | Podiatrist | 335 E Waterloo Rd, Akron, OH 44319-1218 | 2005-09-30 |
| 1205464476 | Jeremy Davis | Student in an Organized Health Care Education/Training Program | 1 Childrens Way # 512-19a, Little Rock, AR 72202-3500 | 2020-03-31 |
| 1013549476 | Jeremy Troy Davis | Student in an Organized Health Care Education/Training Program | 1025 Atlantic Ave, Alameda, CA 94501-1189 | 2020-02-04 |
| 1407418957 | Jeremy L. Davis | Nurse Practitioner | 50 Harrison St Ste 212f, Hoboken, NJ 07030-6087 | 2019-07-05 |
| 1548720162 | Jeremy P Davis | Student in an Organized Health Care Education/Training Program | 1900 10th Ave Ste 100, Columbus, GA 31901-3601 | 2019-03-20 |
| 1316426521 | Jeremy Davis | Social Worker | 1744 Payne Ave, Cleveland, OH 44114-2910 | 2018-08-08 |
| 1982055620 | Jeremy Davis | Pharmacist | 164 E Main St, Rexburg, ID 83440-1912 | 2016-06-23 |
| 1760832927 | Jeremy Davis | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2016-06-20 |
| Street Address |
4110 22ND PL |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467425793 | Nancy Jane Carleton | Specialist/Technologist | 4110 22nd Pl, Lubbock, TX 79410-1122 | 2006-02-08 |
| 1396224747 | Emmanuel Hernandez | Physician Assistant | 4110 22nd Pl, Lubbock, TX 79410-1122 | 2018-08-07 |
| 1265956882 | Erica Marie Kelly | Specialist/Technologist | 4110 22nd Pl, Lubbock, TX 79410-1122 | 2017-07-26 |
| 1730631276 | Abigail Arnold Simpson | Physician Assistant | 4110 22nd Pl, Lubbock, TX 79410-1122 | 2016-11-01 |
| 1457700643 | Sara Cayton | Specialist/Technologist | 4110 22nd Pl, Lubbock, TX 79410-1122 | 2016-06-08 |
| 1407277718 | Jonathan Murray | Specialist/Technologist | 4110 22nd Pl, Lubbock, TX 79410-1122 | 2014-01-04 |
| 1770836280 | Melanie Renae Choate | Physician Assistant | 4110 22nd Pl, Lubbock, TX 79410-1122 | 2012-10-22 |
| 1720269350 | King and Burke, LLP | Orthopaedic Surgery | 4110 22nd Pl, Lubbock, TX 79410-1122 | 2007-11-26 |
| 1649464033 | Karl Pankratz | Orthopaedic Surgery | 4110 22nd Pl, Lubbock, TX 79410-1122 | 2007-08-29 |
| 1700087350 | David Michael Shephard II | Orthopaedic Surgery | 4110 22nd Pl, Lubbock, TX 79410-1122 | 2007-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766191 | Francisco Ruben Perez | Specialist/Technologist | 2503 6th St, Lubbock, TX 79409-9806 | 2020-10-07 |
| 1144841206 | Michael Ulysses Martinez | Specialist/Technologist | 2706 Genoa Ave Apt G2, Lubbock, TX 79407-3257 | 2020-04-29 |
| 1417581604 | Erin Brooke Earhart | Specialist/Technologist | 5710 4th St Apt 2605, Lubbock, TX 79416-4258 | 2020-02-26 |
| 1023641875 | Keila Trevino | Specialist/Technologist | 4901 4th St Apt 84, Lubbock, TX 79416-4909 | 2020-02-20 |
| 1346872660 | Allison Michelle Crites | Specialist/Technologist | 4508 79th St, Lubbock, TX 79424-3204 | 2020-02-05 |
| 1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
| 1629616297 | Victoria Frances Martinez | Specialist/Technologist | 5830 4th St Apt 1612, Lubbock, TX 79416-4181 | 2019-12-13 |
| 1396386306 | Sam David Schaff I | Specialist/Technologist | 3210 Oakridge Ave Apt 2110, Lubbock, TX 79407-1860 | 2019-10-01 |
| 1558902700 | Jordan Weldon | Specialist/Technologist | 6911 38th St, Lubbock, TX 79407-3763 | 2019-09-30 |
| 1366083511 | Christiano Hernandez | Specialist/Technologist | 7419 Globe Ave, Lubbock, TX 79404-6407 | 2019-09-30 |
| Find all providers in LUBBOCK | ||||
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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.