DEBORAH DAVIDSON (NPI# 1063813178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063813178 |
| Entity Type | Individual |
| Full Name | DEBORAH DAVIDSON |
| Credential | MSN, APN |
| Practice Address |
405 Fairgrounds Rd Tipton IN 46072-9596 |
| Mailing Address |
800 Fulton St Logansport IN 46947-1577 |
| Practice Telephone | 7654080536 |
| Practice Fax Number | 7654050539 |
| Mailing Telephone | (574) 205-2600 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
309.007493 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
71007149A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1948 W Boulevard, Kokomo, IN 469026078 | 7654525437 | 8446846185 |
| 401 E 8th St, Rochester, IN 469751443 | 5742238586 | 5742238786 |
| 401 E 8th St, Rochester, IN 469751443 | 5742238565 | 5742238786 |
| 1000 N Broadway Ste A, Peru, IN 469701070 | 7654721931 | 7654721945 |
| 2701 17th St, Rock Island, IL 612015351 | 3097795000 | |
| 1015 Michigan Ave, Logansport, IN 469471526 | 5747225151 | 5747391414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770621500 | Deborah Gail Davidson | Social Worker | 8000 South Us Hwy #1, Suite 200, Port St Lucie, FL 34952 | 2007-02-02 |
| 1710325097 | Deborah Davidson | Specialist | 901 Avenue H, 6c, Brooklyn, NY 11230-2849 | 2013-06-10 |
| 1871893701 | Deborah Leah Davidson | Speech-Language Pathologist | 1600 Forest Ave, Portland, ME 04103-1314 | 2010-10-26 |
| 1215099890 | Deborah Jo Davidson | Nurse Practitioner | 1833 Fillmore St, 3rd Floor, San Francisco, CA 94115-3180 | 2006-12-13 |
| 1427130095 | Deborah Kay Davidson | Pathology | 5440 South Street, Suite 200, Lincoln, NE 68506 | 2006-10-20 |
| 1396842191 | Deborah W Davidson | Nurse Practitioner | 1806 S Hawthorne Rd, Winston Salem, NC 27103-4014 | 2006-09-20 |
| 1235199001 | Deborah E Davidson | Counselor | 6655 S Yale Ave, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136-3326 | 2006-03-25 |
| 1710964010 | Deborah L Davidson | Nurse Practitioner | 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 | 2005-12-28 |
| Street Address |
405 FAIRGROUNDS RD |
| City | TIPTON |
| State | IN |
| Zip Code | 46072-9596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912086638 | Janette R Link | Social Worker | 405 Fairgrounds Rd, Tipton, IN 46072-9596 | 2006-11-03 |
| 1780223255 | Christine Marie Bixler | Counselor | 405 Fairgrounds Rd, Tipton, IN 46072-9596 | 2020-01-02 |
| 1336630441 | Elaine Elizabeth Davis | Counselor | 405 Fairgrounds Rd, Tipton, IN 46072-9596 | 2018-05-24 |
| 1013468735 | Justin Griswold | Counselor | 405 Fairgrounds Rd, Tipton, IN 46072-9596 | 2016-10-18 |
| 1841501590 | Susan G Novak | Nurse Practitioner | 405 Fairgrounds Rd, Tipton, IN 46072-9596 | 2010-06-28 |
| 1164587242 | Catherine Herod | Psychiatry & Neurology | 405 Fairgrounds Rd, Tipton, IN 46072-9596 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235522863 | Christopher Anderson | Specialist/Technologist | 5580 St Rd 28, Tipton, IN 46072 | 2015-03-06 |
| 1205189347 | Christopher Tyler Smith | Physical Therapist | 1010 S Main St Ste 100, Tipton, IN 46072 | 2012-10-25 |
| 1750595765 | Indiana Health Centers, Inc. | Public Health or Welfare | Tipton County Wic Program, 119 West Washington Street, Tipton, IN 46072 | 2007-05-09 |
| 1700943156 | Michael E Harper Md PC | Family Medicine | 410 Fairgrounds Rd, Tipton, IN 46072 | 2007-01-03 |
| 1831158252 | Kevin R Worth | Optometrist | 214 E Jefferson St, Tipton, IN 46072 | 2006-03-23 |
| 1619137239 | Adam T Garner | Optometrist | 215 E Jefferson St, Tipton, IN 46072 | 2008-06-17 |
| 1831217918 | Tracey Powell | Chiropractor | 932 N Main St, Tipton, IN 46072-1047 | 2007-03-27 |
| 1538170840 | Cicero Township Volunteer Fire Department | Ambulance | 750 Development Dr, Tipton, IN 46072-1072 | 2006-08-11 |
| 1720243330 | Mary Delph | Physical Therapy Assistant | 433 Maple St, Tipton, IN 46072-1518 | 2008-07-23 |
| 1992702971 | Jeffrey L Tweedy | Optometrist | 132 N Main St, Tipton, IN 46072-1603 | 2005-07-05 |
| Find all providers in zip 46072 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841501590 | Susan G Novak | Nurse Practitioner | 405 Fairgrounds Rd, Tipton, IN 46072-9596 | 2010-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875669 | Brooke Lavignette | Nurse Practitioner | 1805 Summit Dr, West Lafayette, IN 47906-2231 | 2020-09-15 |
| 1205444775 | Anu Abraham Ade Owofadeju | Nurse Practitioner | 8820 S Meridian St Ste 225, Indianapolis, IN 46217-6064 | 2020-07-21 |
| 1356959068 | Indy Behavioral Health LLC | Nurse Practitioner | 2611 Waterfront Parkway East Dr Ste 370, Indianapolis, IN 46214-2069 | 2020-07-20 |
| 1942833306 | Osasumwen Igbinoba | Nurse Practitioner | 402 Wall St Ste 23, Valparaiso, IN 46383-2567 | 2020-02-13 |
| 1770114118 | Abbey Bolden | Nurse Practitioner | 929 Miller Ct, Greenfield, IN 46140-7267 | 2020-02-03 |
| 1376184556 | Carrie Mefford | Nurse Practitioner | 5435 E 16th St, Indianapolis, IN 46218-4869 | 2019-09-30 |
| 1700430006 | Lusine Vardanyan | Nurse Practitioner | Memorial Hospital and Health Care Center, 800 W 9th Street, Jasper, IN 47546-2514 | 2019-07-25 |
| 1134780851 | Eric Lyakhovetsky | Nurse Practitioner | 327 W Saidah Rd, Bloomington, IN 47404-8965 | 2019-06-24 |
| 1124599394 | Adria Dawn Thornburgh | Nurse Practitioner | 6235 Forest View Dr, Indianapolis, IN 46260-4707 | 2018-12-16 |
| 1033693213 | Katie Marie Feeney | Nurse Practitioner | Riley Children's Hospital, 705 Riley Hospital Dr, Indianapolis, IN 46202 | 2018-09-24 |
| Find all providers with the same taxonomy | ||||
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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.