LAURA DAVIS (NPI# 1154571446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154571446 |
| Entity Type | Individual |
| Full Name | LAURA DAVIS |
| Credential | P.A. |
| Practice Address |
100 Knotbreak Rd Salem VA 24153 |
| Mailing Address |
100 Knotbreak Rd Salem VA 24153-5414 |
| Practice Telephone | 5404445670 |
| Practice Fax Number | 5404445669 |
| Mailing Telephone | 5404445670 |
| Mailing Fax Number | 5404445669 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110002895 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1802 Braeburn Dr, Suite 3c10, Salem, VA 241537357 | 5404445670 | 5404445669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880616 | Laura Johnetta Davis | Technician | 52 Trap Springs Rd, Grafton, WV 26354-7711 | 2020-10-29 |
| 1184233827 | Laura Davis | Physical Therapist | 1602 Sw Lantern Ave, Port Saint Lucie, FL 34953-2503 | 2020-07-29 |
| 1407412414 | Laura Davis | Physical Therapist | 803 W 16th St, Houston, TX 77008-3523 | 2019-05-15 |
| 1295210714 | Laura J Davis | Social Worker | 1149 E Slocum St, Philadelphia, PA 19150-3122 | 2018-10-01 |
| 1821532052 | Laura Davis | Speech-Language Pathologist | 1430 West Sunset Drive, Taylorville, IL 62568-1293 | 2016-12-07 |
| 1346797883 | Laura Rhoda Davis | Occupational Therapist | 10 Mesa Sea Rd, Arroyo Hondo, NM 87513 | 2016-09-01 |
| 1295113595 | Laura Davis | Registered Nurse | 355 W Duck Creek Rd, Clayton, DE 19938-7712 | 2015-05-07 |
| 1699194431 | Laura Davis | Counselor | 4366 Coddle Creek Dr, Concord, NC 28027-8570 | 2014-04-09 |
| 1407100431 | Laura A Davis | Speech-Language Pathologist | 9367 Homeside Dr, Indianapolis, IN 46250-1474 | 2012-10-29 |
| 1669755385 | Laura Lee Davis | Social Worker | 80 West St, Danbury, CT 06810-6531 | 2011-09-20 |
| Street Address |
100 KNOTBREAK RD |
| City | SALEM |
| State | VA |
| Zip Code | 24153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255350831 | Marc A Swanson | Anesthesiology | 100 Knotbreak Rd, Salem, VA 24153 | 2006-07-18 |
| 1235737891 | Emma Perdue | Physician Assistant | 100 Knotbreak Rd, Salem, VA 24153-5414 | 2020-10-15 |
| 1184284135 | Adam Battaglia | Physician Assistant | 100 Knotbreak Rd, Salem, VA 24153-5414 | 2019-06-20 |
| 1508224775 | Jordan Webb Young | Physician Assistant | 100 Knotbreak Rd, Salem, VA 24153 | 2016-02-03 |
| 1033509088 | Kaitlin Scott Daniels | Physician Assistant | 100 Knotbreak Rd, Salem, VA 24153 | 2015-01-29 |
| 1861753386 | Andrew Richard Crichlow | Anesthesiology | 100 Knotbreak Rd, Salem, VA 24153 | 2012-05-31 |
| 1518118330 | Blue Ridge Pain Management Associates, PC | Anesthesiology | 100 Knotbreak Rd, Salem, VA 24153 | 2008-10-10 |
| 1326299751 | Dana Michelle Hurt Adams | Physician Assistant | 100 Knotbreak Rd, Salem, VA 24153 | 2008-10-03 |
| 1093806192 | George M. Baylor | Anesthesiology | 100 Knotbreak Rd, Salem, VA 24153 | 2006-09-27 |
| 1134236763 | Anthony Louis Dragovich | Pain Medicine | 100 Knotbreak Rd, Salem, VA 24153 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
| 1639614852 | Gregory Bull | Physician Assistant | 622 Fernwood Dr, Salem, VA 24153-2654 | 2016-12-24 |
| 1841648862 | Theron J Wiese | Physician Assistant | 1395 Commercial St Se, Salem, OR 97302-4205 | 2016-05-31 |
| 1922329697 | Charleen Ann Thorburn | Physician Assistant | 22 Keewaydin Dr, Salem, NH 03079-2839 | 2010-06-17 |
| 1316188006 | Judith A Mitchell | Physician Assistant | 4999 Skyline Rd. S., Salem, OR 97306 | 2009-03-10 |
| 1215912712 | Amy Gouley | Physician Assistant | 1793 13th St Se, Salem, OR 97302-2541 | 2005-12-07 |
| 1306827100 | William Earle Williams | Physician Assistant | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2005-11-08 |
| 1700485224 | Roderick Mao | Physician Assistant | 159 N Broadway, Salem, NH 03079-2136 | 2020-10-26 |
| 1447719752 | Christine Nicole Jeffries | Physician Assistant | 360 Church St Se, Salem, OR 97301-3796 | 2019-03-16 |
| 1265999338 | Brolin Johnson | Physician Assistant | 1793 13th St Se, Salem, OR 97302-2541 | 2019-02-26 |
| Find all providers in SALEM | ||||
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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.