MRS. MARY RUTH DAVIS (NPI# 1073772513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073772513 |
| Entity Type | Individual |
| Full Name | MRS. MARY RUTH DAVIS |
| Credential | LPN |
| Practice Address |
207 Saranac Ave Buffalo NY 14216-1931 |
| Practice Telephone | 7168742155 |
| Mailing Telephone | 7168742155 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 2789621 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02769657 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457992562 | Mary L Davis | Technician | 9946 Tracy Rd, Atoka, TN 38004-7528 | 2019-10-01 |
| 1437646775 | Mary Teresa Davis | Massage Therapist | 158 S Houston Lake Rd Ste 3, Warner Robins, GA 31088-8018 | 2018-04-20 |
| 1992218648 | Mary Davis | Technician | 2801 14th St Nw Apt 517, Washington, DC 20009-4914 | 2017-11-15 |
| 1750807152 | Mary Ann Davis | Home Health Aide | 4506 Quarles St Ne Apt B2, Washington, DC 20019-2020 | 2017-08-17 |
| 1588186290 | Mary Ann Davis | Counselor | 472 W Paseo Rio Grande, Oro Valley, AZ 85737-6877 | 2017-07-13 |
| 1003356288 | Mary Amber Davis | Nurse Anesthetist, Certified Registered | 27 Wintergreen Way, Orlando, FL 32825-3649 | 2017-03-07 |
| 1770038093 | Mary E Davis | Nurse Practitioner | 2467b Diehl Dr, Tallahassee, FL 32308-3870 | 2016-08-16 |
| 1275914392 | Mary Katherine Davis | Dentist | 1903 Ep True Pkwy, West Des Moines, IA 50265-7000 | 2015-06-15 |
| 1427448463 | Mary Davis | Massage Therapist | 28186 Highway 74, Unit 7, Evergreen, CO 80439-5775 | 2015-01-29 |
| 1972845873 | Mary Joe Davis | Counselor | 130 Jessie St, Ellwood City, PA 16117-5408 | 2013-03-19 |
| Street Address |
207 SARANAC AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14216-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740752054 | Melanie Ivette Gonzalez | Occupational Therapist | 81 Rachel Vincent Way, Buffalo, NY 14216 | 2018-12-27 |
| 1245650308 | Maria Orellana-matta | Family Medicine | 900 Hertel Avenue, Buffalo, NY 14216 | 2014-04-16 |
| 1174823298 | Kostace Leslie Kyser | Dental Hygienist | 78 Commonwealth, Buffalo, NY 14216 | 2010-10-22 |
| 1205150737 | Barbara Jane Madison | Pharmacist | 1388 Hertel Ave, Buffalo, NY 14216 | 2010-03-26 |
| 1487894317 | Melissa Ryan Trillo | Speech-Language Pathologist | 780 Parkside Ave, Buffalo, NY 14216 | 2009-03-05 |
| 1003033010 | Dan W Rajca | Pharmacist | 1001 Hertel Avenue, Buffalo, NY 14216 | 2007-04-19 |
| 1629294806 | Nikita Chandrakant Dave | Physical Medicine & Rehabilitation | 699 Hertel Ave., Industrial Medicine Office, Buffalo, NY 14216 | 2007-04-17 |
| 1437260692 | Ruth Theresa Black | Social Worker | 29 Tennyson Ave, Buffalo, NY 14216 | 2006-08-31 |
| 1033229604 | Promed Inc | Durable Medical Equipment & Medical Supplies | 350 Hinman Ave, Buffalo, NY 14216 | 2006-08-30 |
| 1457361719 | Sylvia Marzullo | Physical Therapist | 2625 Delaware Ave, Buffalo, NY 14216 | 2006-08-09 |
| Find all providers in zip 14216 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546963 | Tawanda Johnson | Licensed Practical Nurse | 333 S Division St, Buffalo, NY 14204-1715 | 2020-10-23 |
| 1740889195 | Jailyn Dickson | Licensed Practical Nurse | 298 E Delavan Ave, Buffalo, NY 14208-1313 | 2020-10-17 |
| 1972100493 | Bernadette Harrison | Licensed Practical Nurse | 352 Glenwood Ave, Buffalo, NY 14208-1817 | 2020-10-07 |
| 1225644727 | Stephanie Danielle Fuller | Licensed Practical Nurse | 22 Montclair Ave, Buffalo, NY 14215-2124 | 2020-09-20 |
| 1417567959 | Leisha Lett | Licensed Practical Nurse | 12 Midland St, Buffalo, NY 14220-1020 | 2020-08-07 |
| 1073131934 | Jaimontae Jeannette Mcduffie | Licensed Practical Nurse | 370 Wyoming Ave, Buffalo, NY 14215-3120 | 2020-07-08 |
| 1710500129 | Altricia Glisson | Licensed Practical Nurse | 511 Winslow Ave Uppr, Buffalo, NY 14211-1361 | 2020-05-20 |
| 1073134714 | Sharina Janee Morris | Licensed Practical Nurse | 354 Katherine St, Buffalo, NY 14210-2019 | 2020-05-05 |
| 1154952307 | Natalie Marie Jones | Licensed Practical Nurse | 110 Wood Ave, Buffalo, NY 14211-2550 | 2020-01-27 |
| 1073153128 | Keisha Samuels | Licensed Practical Nurse | 2092 Bailey Ave, Buffalo, NY 14211-2057 | 2020-01-07 |
| Find all providers in BUFFALO | ||||
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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.