MRS. COLLEEN MARIE DAVIS (NPI# 1114252186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114252186 |
| Entity Type | Individual |
| Full Name | MRS. COLLEEN MARIE DAVIS |
| Credential | BSN, IBCLC |
| Practice Address |
921 Sandia Cir Edmond OK 73012-4249 |
| Practice Telephone | 4053405430 |
| Mailing Telephone | 4053405430 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
R0049489 | OK | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149353 | Colleen Davis | Physical Therapist | 132 Cross Rd, Waterford, CT 06385-1204 | 2019-05-19 |
| 1578896767 | Colleen Davis | Speech-Language Pathologist | 3123 Delrose St, Milford, MI 48380 | 2009-09-07 |
| 1811484900 | Colleen Kelly Davis | Student in an Organized Health Care Education/Training Program | 1721 Patterson St, Nashville, TN 37203-2925 | 2018-04-16 |
| 1477007870 | Colleen Davis | Physical Therapist | 280 Boston Tpke, Shrewsbury, MA 01545-2640 | 2016-08-15 |
| 1255737540 | Colleen Davis | Behavioral Analyst | 474 Blossom Hill Rd, San Jose, CA 95123-3301 | 2014-11-13 |
| 1083877484 | Colleen M Davis | Licensed Practical Nurse | 526 Old Liverpool Rd, Liverpool, NY 13088-6238 | 2008-07-07 |
| 1801054796 | Colleen Arsina Davis | Physical Therapist | 180 Regan Rd, Vernon, CT 06066-2824 | 2008-05-28 |
| 1245431345 | Colleen Elizabeth Davis Sr. | Counselor | 324 University Ave, Syracuse, NY 13210-1811 | 2007-05-29 |
| 1922142140 | Colleen Marie Davis | Speech-Language Pathologist | 12430 Tesson Ferry Rd, Suite 352, Saint Louis, MO 63128-2702 | 2007-02-19 |
| 1922109206 | Colleen Davis | Physician Assistant | 1306 N Broom St, Wilmington, DE 19806-4209 | 2006-09-26 |
| Street Address |
921 SANDIA CIR |
| City | EDMOND |
| State | OK |
| Zip Code | 73012-4249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013912 | Ashley Lambert | Counselor | 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 | 2020-08-13 |
| 1699316083 | First Rate Eye Care Pllc | Optometrist | 1140 Nw 192nd St., Suite A, Edmond, OK 73012 | 2019-10-07 |
| 1659869881 | Brent Byers | Registered Nurse | 3040 Nw 179th Ct, Edmond, OK 73012 | 2018-04-24 |
| 1386173672 | John A Hale | Respiratory Therapist, Certified | 19100 Meadows Crossing Drive, Edmond, OK 73012 | 2017-06-08 |
| 1740715598 | Ryan Hays | Counselor | 620 Nw 178 St., Apt. 4c, Edmond, OK 73012 | 2017-04-28 |
| 1245691336 | Jessica Collins | Behavioral Analyst | 18217 Sandhurst Ct, Edmond, OK 73012 | 2016-03-16 |
| 1538545801 | Cynthia Ann Thompson | Case Manager/Care Coordinator | 1732 Kelly, Edmond, OK 73012 | 2015-08-10 |
| 1538564224 | Function Physical Therapy, LLC | Physical Therapist | 16502 N Pennsylvania Ave, Suite C, Edmond, OK 73012 | 2014-10-24 |
| 1003227414 | Deer Creek Family Healthcare and Wellness Clinic LLC | Clinic/Center | 19401 N. Portland, Edmond, OK 73012 | 2014-05-20 |
| 1316383649 | Ralphs Family Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Nw178th Street, Suite A, Edmond, OK 73012 | 2013-05-14 |
| Find all providers in zip 73012 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710290853 | Ellen Mary Kiss | Registered Nurse | 19129 Green Springs Dr, Edmond, OK 73012-9768 | 2010-07-19 |
| 1801284385 | Connie Lee Barta | Registered Nurse | 4801 Integris Pkwy, Edmond, OK 73034-8864 | 2015-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456645 | Shantel Harlin | Registered Nurse | 6208 N Vermont Ave, Oklahoma City, OK 73112-1312 | 2020-08-02 |
| 1609425339 | Lindsey B Mcreynolds | Registered Nurse | 1403 Oakridge Rd, Ardmore, OK 73401-3611 | 2019-09-05 |
| 1962054882 | Jayme Provine | Registered Nurse | 3300 Healthplex Parkway, Lactation Dept, Norman, OK 73072 | 2019-07-11 |
| 1942764634 | Rhonda S Sullivan | Registered Nurse | 1902 S Nyssa Pl, Broken Arrow, OK 74012-9093 | 2019-01-26 |
| 1902373327 | Green Country Lactation LLC | Registered Nurse | 809 W Juneau St, Broken Arrow, OK 74012-0765 | 2018-10-24 |
| 1972088375 | Amber Michelle Richards | Registered Nurse | 3722 Plantation Dr, Enid, OK 73703-1449 | 2018-10-01 |
| 1437639564 | Kyla Pfannenstiel | Registered Nurse | 11426 S Nandina Ave, Jenks, OK 74037-2168 | 2018-08-17 |
| 1447738604 | Michelle Walton | Registered Nurse | 3330 Nw Expressway, Oklahoma City, OK 73112-4418 | 2018-07-31 |
| 1356866131 | Rachel Celeste Weaver | Registered Nurse | 712 W Lakeshore Dr, Stillwater, OK 74075-1335 | 2017-08-14 |
| 1528501160 | Melissa Taylor | Registered Nurse | 1601 W Utica St, Broken Arrow, OK 74011-1600 | 2016-11-30 |
| 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.