AMY MARIE DAVIS (NPI# 1164561130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164561130 |
| Entity Type | Individual |
| Full Name | AMY MARIE DAVIS |
| Credential | APN FNP-C |
| Practice Address |
5401 N Knoxville Ave Ste 207 Peoria IL 61614-5021 |
| Practice Telephone | 3096920400 |
| Practice Fax Number | 3096922804 |
| Mailing Telephone | 3096920400 |
| Mailing Fax Number | 3096922804 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
209006059 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 209006059 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306475173 | Amy Diane Davis | Nurse Practitioner | 588 Lily Ln, Hanson, KY 42413-8500 | 2020-04-03 |
| 1902395098 | Amy Leigh Davis | Speech-Language Pathologist | 5900 Little Falls Rd, Arlington, VA 22207-1344 | 2018-05-04 |
| 1568908465 | Amy Mackenzie Davis | Behavior Technician | 10260 Nw 48th Ct, Coral Springs, FL 33076-1717 | 2017-01-16 |
| 1891157772 | Amy Elizabeth Davis | Midwife | 993 Dowitcher Dr, Satellite Beach, FL 32937-2872 | 2016-03-22 |
| 1205242583 | Amy Lynn Davis | Counselor | 620 Julmar Cir, Fairfield, CA 94534-4214 | 2014-07-07 |
| 1386057644 | Amy Cameron Davis | Counselor | 3110 S Wadsworth Blvd Ste 308, Denver, CO 80227-4810 | 2014-06-04 |
| 1932538345 | Amy Davis | Community Health Worker | 4304 Coburn Pl, Raleigh, NC 27616-7971 | 2013-11-06 |
| 1225311723 | Amy Maree Davis | Counselor | 1276 W River Street, Suite 100, Boise, ID 83702-7066 | 2011-09-21 |
| 1346532413 | Amy M. Davis | Counselor | 617 E Jefferson St, Morris, IL 60450-2310 | 2011-05-09 |
| 1952616344 | Amy Davis | Social Worker | 1851 Columbus St, Ottawa, IL 61350-1528 | 2010-08-10 |
| Street Address |
5401 N KNOXVILLE AVE STE 207 |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-5021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922061043 | Jeanna M Ross | Nurse Practitioner | 5401 N Knoxville Ave Ste 207, Peoria, IL 61614-5021 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787072 | Brijeshaben Urvish Patel | Nurse Practitioner | 13300 N 88th Ave Apt 2007, Peoria, AZ 85381-2614 | 2020-07-10 |
| 1457906380 | Dana Putman | Nurse Practitioner | 26105 N 137th Ln, Peoria, AZ 85383-8080 | 2019-08-07 |
| 1255815858 | Karibu Family Care Pllc | Nurse Practitioner | 20542 N Lake Pleasant Rd Ste 105, Peoria, AZ 85382-9749 | 2018-09-19 |
| 1003170440 | Diana Sun Bone | Nurse Practitioner | 9947 West Happy Valley Parkway, # 104, Peoria, AZ 85383-6001 | 2012-06-29 |
| 1851333819 | Tina White | Nurse Practitioner | 1419 S Folkers Ave, Peoria, IL 61605-1356 | 2006-06-12 |
| 1457398265 | Cheryl Kliot-lape | Nurse Practitioner | 800 W Romeo B Garrett Ave, Peoria, IL 61605-2207 | 2006-06-01 |
| 1083263503 | Wellness for Life Family Practice | Nurse Practitioner | 20449 N Lake Pleasant Rd Ste 101, Peoria, AZ 85382-2707 | 2019-09-06 |
| 1366913618 | Krishna Keshav | Nurse Practitioner | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381 | 2018-12-16 |
| 1407223969 | Teresa Michelle Watts | Nurse Practitioner | 900 Main St, Suite 100, Peoria, IL 61602-1005 | 2015-08-31 |
| 1881912392 | Jailson Souza Nascimento | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2010-05-07 |
| Find all providers in PEORIA | ||||
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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.