MS. HEIDI JO DAVIS (NPI# 1073615001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073615001 |
| Entity Type | Individual |
| Full Name | MS. HEIDI JO DAVIS |
| Other Name | HEIDI JO PETERSON |
| Credential | PA |
| Practice Address |
7625 W 92nd Ave Westminster CO 80021-4567 |
| Practice Telephone | 3034274075 |
| Practice Fax Number | 3034234185 |
| Mailing Telephone | 3034274075 |
| Mailing Fax Number | 3034234185 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 626 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | RAIL ROAD MEDICARE | P00893501 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043853716 | Heidi Marie Davis | Case Manager/Care Coordinator | 635 3rd Ave Sw Unit 151, Albany, OR 97321-2625 | 2019-10-24 |
| 1790223451 | Heidi Alicia Davis | Nurse Practitioner | 2300 Round Rock Ave #205, Round Rock, TX 78681 | 2017-02-02 |
| 1649324740 | Heidi L. Davis | Nurse Practitioner | 151 State Route 10 E, Ste 105, Succasunna, NJ 07876-1452 | 2007-01-23 |
| 1265998876 | Heidi Davis | Behavior Technician | 5302 S Florida Ave Ste 202, Lakeland, FL 33813-4910 | 2019-02-19 |
| 1750847620 | Heidi Davis | Behavior Technician | 1330 Quail Lake Loop Ste 200, Colorado Springs, CO 80906-4651 | 2019-02-15 |
| 1184124091 | Heidi Jolene Davis | Nurse Practitioner | 3583 Highway 17, Murrells Inlet, SC 29576-5002 | 2018-02-16 |
| 1093258477 | Heidi Lynn Davis | Licensed Practical Nurse | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2016-12-02 |
| 1881031565 | Heidi Lynn Davis | Physical Therapist | 5500 Harrison Ave, Cincinnati, OH 45248-2361 | 2013-06-04 |
| 1962788133 | Heidi B Davis | Speech-Language Pathologist | 3599 Big Ridge Rd, Spencerport, NY 14559-1709 | 2011-11-01 |
| 1366725020 | Heidi Anne Davis | Nurse Practitioner | 200 University Ave E, Saint Paul, MN 55101-2507 | 2011-09-20 |
| Street Address |
7625 W 92ND AVE |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80021-4567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921590 | Maria Brigitte Straub | Family Medicine | 7625 W 92nd Ave, Westminster, CO 80021-4567 | 2005-06-13 |
| 1932559986 | Scl Physicians - Rmpc LLC | Internal Medicine | 7625 W 92nd Ave, Westminster, CO 80021-4567 | 2016-06-20 |
| 1558772624 | Julie Marie Sefcik | Family Medicine | 7625 W 92nd Ave, Westminster, CO 80021-4567 | 2014-05-12 |
| 1619223229 | Nicole Elizabeth Cucinella | Family Medicine | 7625 W 92nd Ave, Westminster, CO 80021-4567 | 2012-08-01 |
| 1215981634 | Rocky Mountain Primary Care Management Service Organization, Inc. | Internal Medicine | 7625 W 92nd Ave, Westminster, CO 80021-4567 | 2006-05-20 |
| 1548221229 | Behice Ozbay | Family Medicine | 7625 W 92nd Ave, Westminster, CO 80021-4567 | 2006-03-31 |
| 1356320196 | John David Gordon | Family Medicine | 7625 W 92nd Ave, Westminster, CO 80021-4567 | 2006-01-11 |
| 1013996982 | Gregory Thomas Hirons | Family Medicine | 7625 W 92nd Ave, Westminster, CO 80021-4567 | 2006-01-10 |
| 1346224169 | Daniel Robert Grossman | Family Medicine | 7625 W 92nd Ave, Westminster, CO 80021-4567 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941934 | Denver Restorative Dentistry Pllc | Dentist | 8181 Arista Place, Suite 140, Broomfield, CO 80021 | 2019-09-19 |
| 1205490398 | Amber Kay Kisser | Occupational Therapist | 7770 W 101st Ave, Westminster, CO 80021 | 2019-04-24 |
| 1871093138 | Samantha Ewing | Audiologist | 403 Summit Blvd., # 204, Broomfield, CO 80021 | 2018-02-13 |
| 1568978914 | Denver Recovery Center, LLC | Clinic/Center | 295 Interlocken Blvd Ste 400, Broomfield, CO 80021 | 2017-12-21 |
| 1730601477 | Elaine H Kim | Audiologist | 120 Edgeview Dr., Unit 6220, Broomfield, CO 80021 | 2017-07-14 |
| 1245605575 | Profound Fitness, LLC | Day Training, Developmentally Disabled Services | 7721 W 92nd Ave, Westminster, CO 80021 | 2015-12-11 |
| 1558785634 | Nichelle Francavilla Gurule | Chiropractor | 11336 W 104th Ave, Westminster, CO 80021 | 2014-02-10 |
| 1255770244 | Martha Ha | Dentist | 645 Flatiron Marketplace Dr Unit A, Broomfield, CO 80021 | 2013-06-23 |
| 1467737841 | Nathaniel Weidner | Pharmacist | 10350 Dover St. D28, Westminster, CO 80021 | 2011-10-17 |
| 1346475209 | Christine Marie Maren | Family Medicine | 8181 Arista Pl Unit 100, Broomfield, CO 80021 | 2009-05-21 |
| Find all providers in zip 80021 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941920 | Panorama Orthopedics & Spine Center, PC | Physician Assistant | 8510 Bryant St Ste 120, Westminster, CO 80031-3845 | 2020-04-22 |
| 1821631441 | Huan Nguyen | Physician Assistant | 10161 Bolsa Ave Ste 206c, Westminster, CA 92683-6775 | 2019-10-27 |
| 1801442694 | Kevin Chivacharoen | Physician Assistant | 14371 Riverton St, Westminster, CA 92683-4692 | 2019-08-16 |
| 1598249799 | Madeleine Ruth Courvoisier | Physician Assistant | 826 Washington Rd Ste 204a, Westminster, MD 21157-5780 | 2018-09-24 |
| 1205354602 | Summer Nguyen | Physician Assistant | 7181 21st St Apt 10, Westminster, CA 92683-7900 | 2017-09-06 |
| 1831614353 | Khanh Ngoc Cong Huyen Ton Nu | Physician Assistant | 7382 Natal Dr, Westminster, CA 92683-2245 | 2017-08-04 |
| 1366817306 | Asiya Raifovna O'marra | Physician Assistant | 410 Malcolm Dr Ste E, Westminster, MD 21157-6160 | 2015-12-02 |
| 1144649492 | Westminster Dermatology, LLC | Physician Assistant | 532 Baltimore Blvd Ste 211, Westminster, MD 21157-6117 | 2014-04-15 |
| 1932548898 | Kelly Anne Spring | Physician Assistant | 4641 W 109th Pl, Westminster, CO 80031-2016 | 2013-06-24 |
| 1679809263 | Thai Gia Dieu Tran | Physician Assistant | 13421 Chestnut St, Westminster, CA 92683-2607 | 2009-11-02 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 80021 |
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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.