MRS. KENISHA DAVIS (NPI# 1033604954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033604954 |
| Entity Type | Individual |
| Full Name | MRS. KENISHA DAVIS |
| Credential | FNP |
| Practice Address |
18232 Ridgewood Ave Lansing IL 60438-3024 |
| Practice Telephone | 7086551482 |
| Mailing Telephone | 7086551482 |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2018-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.017812 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619511383 | Kenisha Davis | Specialist/Technologist, Other | 2944 N Stage Plz, Bartlett, TN 38134-3705 | 2019-11-05 |
| 1528236650 | Kenisha La'trece Davis | Registered Nurse | 6632 State Road 48, Maineville, OH 45039 | 2008-02-12 |
| 1780179077 | Kenisha Davis | Case Manager/Care Coordinator | 525 E Home Rd, Springfield, OH 45503-2861 | 2018-06-28 |
| Street Address |
18232 RIDGEWOOD AVE |
| City | LANSING |
| State | IL |
| Zip Code | 60438-3024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013429984 | Gentle Touch Healthcare Services | In Home Supportive Care | 18236 Ridgewood, Lansing, IL 60438 | 2017-10-31 |
| 1336658699 | Elizabeth M Cichocki | Speech-Language Pathologist | Memorial Jr. High School, 2721 Ridge Rd., Lansing, IL 60438 | 2017-09-29 |
| 1023527595 | Sue Hecht | Speech-Language Pathologist | 18300 Greenbay, Lansing, IL 60438 | 2017-09-27 |
| 1275960130 | Senegal Enterprises Medical, Inc | Durable Medical Equipment & Medical Supplies | 3330 181st Place, Suite 103, Lansing, IL 60438 | 2013-10-08 |
| 1295062404 | Dominion Home Health Care Inc. | Home Health | 2521 Ridge Road, Suite 4, Lansing, IL 60438 | 2009-11-09 |
| 1013076348 | Wayne M Mrjenovich Dds PC | Dentist | 19111 Burnham Ave, Lansing, IL 60438 | 2006-12-06 |
| 1124198247 | Jennifer Meyer | Counselor | 17041 Chicago Ave, Lansing, IL 60438 | 2006-11-08 |
| 1821171182 | Nurse Coordinators & Home Health | Home Health | 1955 Bernice Rd, Suite 1sw, Lansing, IL 60438 | 2006-10-23 |
| 1275633133 | Hoovers Home Health Inc | Durable Medical Equipment & Medical Supplies | 3326 Ridge Rd, Lansing, IL 60438 | 2006-09-22 |
| 1942307053 | Brant T Molenaar | Optometrist | 3546 Ridge Road, Lansing, IL 60438 | 2006-09-20 |
| Find all providers in zip 60438 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710597281 | Adepeju Ojomalade | Nurse Practitioner | 2327 184th Pl, Lansing, IL 60438-2614 | 2020-08-08 |
| 1932731890 | Jaymi D Nesbit | Nurse Practitioner | 3131 Boston Blvd, Lansing, MI 48910-6504 | 2020-02-10 |
| 1114560539 | Michele Junious Lyons | Nurse Practitioner | 1631 185th St, Lansing, IL 60438-6508 | 2019-10-18 |
| 1659931418 | Kayla Holcomb | Nurse Practitioner | 3701 173rd Ct Apt 3c, Lansing, IL 60438-1441 | 2019-06-14 |
| 1235605833 | Jamie L Gothberg | Nurse Practitioner | 1120 E Michigan Ave Ste A, Lansing, MI 48912-1810 | 2018-10-22 |
| 1538677026 | Harold F. Roth, D.o. | Nurse Practitioner | 1627 Lake Lansing Rd Ste 200, Lansing, MI 48912-3788 | 2018-01-18 |
| 1023491875 | Katelyn Donofrio | Nurse Practitioner | 107 N Washington Sq, Lansing, MI 48933-1777 | 2015-06-29 |
| 1578966594 | Michele Marie Toney | Nurse Practitioner | 3618 176th Pl, Lansing, IL 60438-2035 | 2014-10-04 |
| 1134544190 | Stephanie Michele Stanley | Nurse Practitioner | 232 Bittersweet Ln, Lansing, KS 66043-1403 | 2014-02-28 |
| 1225169261 | Angela Christine Berg | Nurse Practitioner | 102 Mcpherson Ave, Lansing, MI 48915-1760 | 2007-03-09 |
| Find all providers in LANSING | ||||
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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.