MR. KENNETH LEE DAVIS (NPI# 1023143021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023143021 |
| Entity Type | Individual |
| Full Name | MR. KENNETH LEE DAVIS |
| Credential | CPSW, CPSC, MSD, DD |
| Practice Address |
184 Unser Blvd Ne Rio Rancho NM 87124-4045 |
| Mailing Address |
177b El Cerro Mission Rd Los Lunas NM 87031-7874 |
| Practice Telephone | 5058960928 |
| Practice Fax Number | 5049940209 |
| Mailing Telephone | 5052402399 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2014-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
RC00056544 | WA | Behavioral Health & Social Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 44842 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215480645 | Kenneth Davis | Pharmacist | 60 Hospital St, Cadiz, KY 42211-7970 | 2016-08-02 |
| 1336567767 | Kenneth Davis | Contractor | 8908 E Mint Cir, Palmer, AK 99645-8053 | 2014-04-02 |
| 1750707931 | Kenneth Roger Davis | Internal Medicine | 315 N 71st St, Seattle, WA 98103-5019 | 2014-03-11 |
| 1649601774 | Kenneth L Davis | Counselor | 1404 E. 11th Avenue, Spokane, WA 99202 | 2013-11-27 |
| 1124384359 | Kenneth Wayne Davis | Counselor | 1002 Se C St, Bentonville, AR 72712-6327 | 2012-04-02 |
| 1134458045 | Kenneth Carter Davis | Occupational Therapist | 2 Post Rd, Warwick, RI 02888-1607 | 2009-12-24 |
| 1942444948 | Kenneth Scott Davis | Psychiatry & Neurology | 1837 Edenside Ave, Louisville, KY 40204-1521 | 2009-04-22 |
| 1205040771 | Kenneth P Davis | Psychologist | 821 W Van Buren St, Chicago, IL 60607-3517 | 2007-05-10 |
| 1740301886 | Kenneth William Davis | Chiropractor | 381 Palm Coast Pkwy Sw, Unit 2, Palm Coast, FL 32137-4781 | 2007-04-03 |
| 1760499198 | Kenneth James Davis | Pharmacist | 326 Doyle St W, Toccoa, GA 30577-2314 | 2006-08-01 |
| Street Address |
184 UNSER BLVD NE |
| City | RIO RANCHO |
| State | NM |
| Zip Code | 87124-4045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598733859 | Naishadh Ajitrai Mankad | Internal Medicine | 184 Unser Blvd Ne, Rio Rancho, NM 87124 | 2006-03-10 |
| 1891259222 | Marissa Koupf | Social Worker | 184 Unser Blvd Ne, Rio Rancho, NM 87124 | 2019-01-30 |
| 1073089926 | Christina Marie Hannah | Family Medicine | 184 Unser Blvd Ne, Rio Rancho, NM 87124-4045 | 2018-10-18 |
| 1629555438 | Frank Olivero Barreras | Case Manager/Care Coordinator | 184 Unser Blvd Ne, Rio Rancho, NM 87124-4045 | 2018-07-24 |
| 1902390966 | Stephen Joseph Frazier | Case Manager/Care Coordinator | 184 Unser Blvd Ne, Rio Rancho, NM 87124-4045 | 2018-06-21 |
| 1336648328 | Desiree Renee Provencio | Nurse Practitioner | 184 Unser Blvd Ne, Rio Rancho, NM 87124-4045 | 2018-02-06 |
| 1215440771 | Gloria Judith Aguilar Gurule | Case Manager/Care Coordinator | 184 Unser Blvd Ne, Rio Rancho, NM 87124 | 2017-11-07 |
| 1689185589 | Presbyterian Medical Services | Clinic/Center | 184 Unser Blvd Ne, Rio Rancho, NM 87124-4045 | 2017-10-18 |
| 1164947313 | Anthony Gregory Marquez | Social Worker | 184 Unser Blvd Ne, Rio Rancho, NM 87124-4045 | 2017-08-09 |
| 1467975763 | Damani Tryon Psr | Behavior Technician | 184 Unser Blvd Ne, Rio Rancho, NM 87124-4045 | 2017-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
| 1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
| 1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
| 1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
| 1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
| 1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
| 1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
| 1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
| 1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
| 1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
| Find all providers in zip 87124 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072211 | Reflections | Case Manager/Care Coordinator | 352 Soothing Meadows Dr Ne, Rio Rancho, NM 87144-4106 | 2020-10-31 |
| 1588040034 | Amanda Martinez | Case Manager/Care Coordinator | 184 Unser Boulvard Ne, Rio Rancho, NM 87124 | 2015-08-07 |
| 1972981231 | Petulia Vandever | Case Manager/Care Coordinator | 4321 Fulcrum Way Ne, Suite B, Rio Rancho, NM 87144-8408 | 2015-05-07 |
| 1851783492 | Linda Hallock | Case Manager/Care Coordinator | 587 Brazos Dr Se, Rio Rancho, NM 87124-3256 | 2015-02-18 |
| 1285984351 | Ashley Nicole Salazar | Case Manager/Care Coordinator | 132 Latigo Trail, Rio Rancho, NM 87124 | 2012-09-14 |
| 1497033047 | Dana Porter | Case Manager/Care Coordinator | 4893 Turquoise Dr Ne, Rio Rancho, NM 87124-4573 | 2011-08-01 |
| 1407158751 | Kevin F Santry | Case Manager/Care Coordinator | 824 3rd St Sw, Rio Rancho, NM 87124-3351 | 2010-11-18 |
| 1982905196 | Kathleen Florence Bustos-garcia | Case Manager/Care Coordinator | 4311 Sara Rd Se Ste 105, Rio Rancho, NM 87124-1524 | 2010-11-04 |
| 1013539154 | Melissa Carol Ward | Case Manager/Care Coordinator | 2300 Grande Blvd Se, Rio Rancho, NM 87124-1755 | 2020-05-12 |
| 1629555438 | Frank Olivero Barreras | Case Manager/Care Coordinator | 184 Unser Blvd Ne, Rio Rancho, NM 87124-4045 | 2018-07-24 |
| Find all providers in RIO RANCHO | ||||
| City | RIO RANCHO |
| Zip Code | 87124 |
Please comment or provide details below to improve the information on MR. KENNETH LEE 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.