CAROL A DAVIS (NPI# 1104101344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104101344 |
| Entity Type | Individual |
| Full Name | CAROL A DAVIS |
| Credential | FNP-BC |
| Practice Address |
6900 Alden Dr. Bldg 160 F.e. Warren Afb Cheyenne WY 82005-4800 |
| Mailing Address |
5050 Powderhouse Rd Cheyenne WY 82009-4800 |
| Practice Telephone | 3077735383 |
| Mailing Telephone | 3076341311 |
| Mailing Fax Number | 3076341271 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2018-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 17455.1096 | WY | Nursing Service Providers |
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
17455.1096 | WY | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | NP-990256 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 17455 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
17455.1096 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
17455 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 1104101344 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982129045 | Carol F Davis | Counselor | 1326 Watchung Avenue, Plainfield, NJ 07060 | 2017-08-10 |
| 1437515285 | Carol Diane Davis | Occupational Therapist | 612 Country Club Dr, Evanston, WY 82930-3252 | 2016-01-09 |
| 1073859880 | Carol Davis | Speech-Language Pathologist | 40th St Ct Nw, Artondale Elementary School, Gig Harbor, WA 98335 | 2012-12-26 |
| 1821393620 | Carol Denise Davis | Preventive Medicine | 30 Bell Avenue, Bldge 490 Omc Brookhaven National Laboratory, Upton, NY 11973 | 2011-01-26 |
| 1972731065 | Carol Downs Davis | Counselor | 911 E Powell St, Springfield, MO 65807-5125 | 2009-06-26 |
| 1972754653 | Carol Ann Davis I | Massage Therapist | 11611 Ramirez Rd, Klamath Falls, OR 97603-8963 | 2008-10-01 |
| 1780842252 | Carol Elsa Davis | Assisted Living Facility | 8045 Normanshire Ct, Anchorage, AK 99504 | 2008-05-30 |
| 1467651158 | Carol K Davis | Contractor | 9601 W Timberline Dr, Sun City, AZ 85351-2922 | 2007-07-13 |
| 1205054830 | Carol J. Davis | Chiropractor | 1018 College Rd, Fairbanks, AK 99701-1557 | 2007-04-20 |
| 1932267317 | Carol M Davis | Physical Therapist | 1500 Monza Ave Ste 350, Coral Gables, FL 33146-3005 | 2006-12-05 |
| Street Address |
6900 ALDEN DR. BLDG 160 F.E. WARREN AFB |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82005-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250597 | Brittany Corrin Souder | Military Health Care Provider | 1600 Aldene Drive, Fe Warren Afb, WY 82005 | 2020-06-23 |
| 1093368110 | Aaron Michael Keating | Student in an Organized Health Care Education/Training Program | Mental Health Clinic, 90th Omrs, Fe Warren Clinic, Fe Warren Afb, WY 82005 | 2019-07-17 |
| 1477643823 | Paul Hoon Kim | Dentist | 90 Mdos, 6900 Alden Dr, F.e. Warren Afb, WY 82005 | 2006-10-14 |
| 1568495315 | Joseph Myles Simpson, Jr. | Dentist | F E Warren Air Force Base Dental Clinic, 6900 Alden Drive, Cheyenne, WY 82005 | 2006-07-07 |
| 1679953640 | Mary Frances Macleod | Pediatrics | 6900 Alden Dr, Fe Warren Afb, WY 82005 | 2015-06-04 |
| 1306864632 | Lisa Sung Eun Lee | Pharmacist | 6900 Alden Drive, Fe Warren Afb, WY 82005 | 2006-07-17 |
| 1225097371 | George Miller Hilgendorf Jr. | Dentist | 6900 Alden Dr, 90 Mdg, Fe Warren Afb, WY 82005 | 2006-03-18 |
| 1194716159 | Steven L Martin | Physician Assistant | 6900 Alden Dr, Cheyenne, WY 82005 | 2005-10-31 |
| 1992957252 | Perala Enterprises, LLC | Eyewear Supplier (Equipment, not the service) | 6207 Missile Dr, Building 722, Ft Warren Afb, WY 82005-2407 | 2008-10-17 |
| 1972157808 | James Turvy | Dentist | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-2945 | 2019-07-29 |
| Find all providers in zip 82005 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844463 | Lara Vanden Hoek | Nurse Practitioner | 3339 Hales Ranch Rd, Cheyenne, WY 82007-1825 | 2020-09-04 |
| 1649897406 | Anne Barnes | Nurse Practitioner | 4003 Rawlins St Ste A, Cheyenne, WY 82001-1800 | 2020-06-28 |
| 1184266058 | Kelsie Anderson | Nurse Practitioner | 1423 W 31st St, Cheyenne, WY 82001-2458 | 2019-10-11 |
| 1831660430 | Jennifer Asher Martin | Nurse Practitioner | 4920 E 6th St, Cheyenne, WY 82001-6930 | 2018-12-08 |
| 1184108763 | Joyce Laree Larsen | Nurse Practitioner | 1919 Central Ave, Cheyenne, WY 82001-3742 | 2018-09-20 |
| 1396234902 | Mikal Phillips Edwards | Nurse Practitioner | 101 F K Buster Ave, Cheyenne, OK 73628 | 2018-05-09 |
| 1205241627 | Rasha Mohamed Riad | Nurse Practitioner | 800 East 20th Street, 300, Cheyenne, WY 82001 | 2014-06-24 |
| 1831447333 | Laura Beth Torrez | Nurse Practitioner | 4136 Laramie St # B, Cheyenne, WY 82001-1969 | 2012-08-15 |
| 1932471133 | Jill E. Girany | Nurse Practitioner | 4003 Rawlins St, Cheyenne, WA 82001 | 2012-02-02 |
| 1417226994 | Maria Elvira Mullikin | Nurse Practitioner | 214 East 23rd, Cheyenne, WY 82001 | 2011-12-29 |
| Find all providers in CHEYENNE | ||||
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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.