NICOLE L DAVIS (NPI# 1083797807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083797807 |
| Entity Type | Individual |
| Full Name | NICOLE L DAVIS |
| Credential | LAT |
| Practice Address |
240 Maple Street Woodruff WI 54568-0470 |
| Mailing Address |
240 Maple Street Po Box 470 Woodruff WI 54568-0470 |
| Practice Telephone | 7153568000 |
| Mailing Telephone | 7153568000 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
521-039 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747524 | Nicole C Davis | Licensed Vocational Nurse | 2316 Tierra Chica Way, El Paso, TX 79938-4429 | 2019-12-15 |
| 1396210605 | Nicole Joy Davis | Registered Nurse | 2970 Pawnee Ct, Redding, CA 96001-3482 | 2018-10-12 |
| 1972086957 | Nicole Lynne Davis | Social Worker | 4507 N Ravenswood Ave Ste 111, Chicago, IL 60640-5218 | 2018-09-14 |
| 1881103935 | Nicole Davis | Physical Therapy Assistant | 1949 W Ray Rd Ste 23, Chandler, AZ 85224-4008 | 2017-09-21 |
| 1215471545 | Nicole Davis | Specialist/Technologist | 404 Juniper Dr, West Mifflin, PA 15122-1236 | 2016-12-05 |
| 1679932321 | Nicole Davis | Nurse Practitioner | 5206 W Village Pkwy Ste 10, Rogers, AR 72758-8137 | 2016-02-22 |
| 1851777619 | Nicole Davis | Nurse Practitioner | 1301 E 47th St # 2, Chicago, IL 60653-4507 | 2015-08-04 |
| 1386915627 | Nicole Elaine Davis | Pharmacist | 4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116-2975 | 2012-01-18 |
| 1154656023 | Nicole Patrich Davis | Counselor | 1862 Princeton Ave # 206, College Park, GA 30337-3519 | 2009-10-12 |
| 1518107648 | Nicole Jeanette Davis | Occupational Therapist | 11310 Horton Rd, Goodrich, MI 48438-9497 | 2009-03-02 |
| Street Address |
240 MAPLE STREET |
| City | WOODRUFF |
| State | WI |
| Zip Code | 54568-0470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134183171 | Howard Young Medical Center Inc of Woodruff Wisconsin | General Acute Care Hospital | 240 Maple Street, Woodruff, WI 54568 | 2006-04-14 |
| 1780894212 | Nancy A. Jensch | Registered Nurse | 240 Maple Street, Woodruff, WI 54568 | 2007-05-23 |
| 1609922483 | Howard Young Medical Center | Non-Pharmacy Dispensing Site | 240 Maple Street, Woodruff, WI 54568 | 2007-01-26 |
| 1962554931 | Kimber Leigh Baars | Dietitian, Registered | 240 Maple Street, Woodruff, WI 54848 | 2007-01-18 |
| 1104978188 | Margaret Anne Wolf | Dietitian, Registered | 240 Maple Street, Woodruff, WI 54848 | 2007-01-18 |
| 1578623344 | Howard Young Medical Center Inc of Woodruff Wisconsin | Durable Medical Equipment & Medical Supplies | 240 Maple Street, Woodruff, WI 54568-0470 | 2006-12-11 |
| 1740363514 | Nancy Krings | Occupational Therapy Assistant | 240 Maple Street, Woodruff, WI 54568-0470 | 2006-10-23 |
| 1346323169 | John Bassette | Physical Therapist | 240 Maple Street, Woodruff, WI 54568-0470 | 2006-10-23 |
| 1194808964 | Caryl J Schmitz | Speech-Language Pathologist | 240 Maple Street, Woodruff, WI 54568-0470 | 2006-10-23 |
| 1104909977 | Greg S Holt | Physical Therapist | 240 Maple Street, Woodruff, WI 54568-0470 | 2006-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316393226 | Heidi Ann Pritzl | Social Worker | 240 Maple St., Woodruff, WI 54568 | 2016-05-10 |
| 1295098523 | Christine Liesen John J Pinzl Dds Sc | Dentist | 240 Oak Street, Woodruff, WI 54568 | 2012-06-21 |
| 1598072191 | Jodi L Metropulos | Dental Hygienist | 8815 Cty Rd J, Woodruff, WI 54568 | 2010-09-03 |
| 1033367438 | Robert M Borger | Pharmacist | 1143 West Highway 47, Post Office Box 1992, Woodruff, WI 54568 | 2008-08-28 |
| 1316135973 | William Chad Mcgrath | Counselor | 311 Elm Street, Woodruff, WI 54568 | 2007-10-09 |
| 1851583629 | Island Pharmacy Services, Inc. | Pharmacy | 1256 Old Highway 51 South, Arbor Vitae, WI 54568 | 2007-08-15 |
| 1881817161 | Achilles Foot and Ankle Clinic Sc | Podiatrist | 728 Elm Street, Woodruff, WI 54568 | 2007-04-11 |
| 1427187053 | Jennifer A Vojta | Specialist/Technologist | 1446 Hwy 47, Woodruff, WI 54568 | 2007-03-02 |
| 1336294669 | Kati L Havel | Chiropractor | 521 Hemlock St., Woodruff, WI 54568 | 2007-01-25 |
| 1275697773 | John J Pinzl | Dentist | 1105 4th Ave, Woodruff, WI 54568 | 2006-12-20 |
| Find all providers in zip 54568 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043440621 | Jason Paul Currin | Specialist/Technologist | 710 Cross Anchor Hwy, Woodruff, SC 29388-2301 | 2009-07-17 |
| 1427187053 | Jennifer A Vojta | Specialist/Technologist | 1446 Hwy 47, Woodruff, WI 54568 | 2007-03-02 |
| 1245671429 | Zachary D. Furtak | Specialist/Technologist | 1446 1st Ave, Woodruff, WI 54568-9470 | 2013-07-16 |
| 1932445038 | Stacey M. Fashingbauer | Specialist/Technologist | 1446 1st Ave, Woodruff, WI 54568-9470 | 2012-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657329 | Tyler John Friis | Specialist/Technologist | 1514 E Keystone Ln, Appleton, WI 54913-7162 | 2020-10-21 |
| 1184222085 | Ryan James Mcnamara | Specialist/Technologist | 28914 Golden Cir, Waterford, WI 53185-1197 | 2020-10-13 |
| 1770198699 | Tanner Sterling | Specialist/Technologist | 2538 E Garrison Rd, Foxboro, WI 54836-9507 | 2020-09-09 |
| 1922626670 | Eric William Brostrom | Specialist/Technologist | 3305 Lilly Rd, Brookfield, WI 53005-7608 | 2020-07-09 |
| 1174146690 | Brycen Valiga | Specialist/Technologist | 4477 S 113th St, Greenfield, WI 53228-2566 | 2020-05-19 |
| 1104448307 | Xeing Randy Yang | Specialist/Technologist | 2207 Namekagon St, Hudson, WI 54016-9426 | 2020-05-11 |
| 1073134615 | Brian Wood | Specialist/Technologist | 1950 Washington St, Grafton, WI 53024-2103 | 2020-05-06 |
| 1124649751 | Cody Scott Tesch | Specialist/Technologist | 6680 N Teutonia Ave, Milwaukee, WI 53209-3117 | 2020-05-05 |
| 1659992642 | Kelley Potila | Specialist/Technologist | 255 Maggilu Ct, Jefferson, WI 53549-2095 | 2020-04-30 |
| 1366070708 | Claire Duwell | Specialist/Technologist | 9111 W Bluemound Rd, Milwaukee, WI 53226-4506 | 2020-03-31 |
| 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.