JENNIFER DAVIS (NPI# 1164842399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164842399 |
| Entity Type | Individual |
| Full Name | JENNIFER DAVIS |
| Credential | R.N., IBCLC |
| Practice Address |
12 Prospect Ave Randolph VT 05060-1359 |
| Practice Telephone | 8027284105 |
| Mailing Telephone | 8027284105 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
069122-21 | NH | Nursing Service Providers |
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
026.0025071 | VT | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423559 | Jennifer Annette Davis | Registered Nurse | 330 Harvest Mdw, Temple, TX 76502-5060 | 2020-09-29 |
| 1225640667 | Jennifer Lea Davis | Technician | 47 Hall St, Philippi, WV 26416-1292 | 2020-08-18 |
| 1285245688 | Jennifer Rae Davis | Technician | 139 Gauley Ave, Cowen, WV 26206-8690 | 2020-08-11 |
| 1053961441 | Jennifer Davis | Massage Therapist | 3161 Howell Mill Rd Nw Ste 330, Atlanta, GA 30327-2133 | 2019-09-17 |
| 1922579432 | Jennifer Jean Davis | Art Therapist | 165 Beach 116th St, Rockaway Park, NY 11694-2411 | 2018-12-09 |
| 1265949200 | Jennifer Jennings Davis | Nurse Practitioner | 2451 Fillingim Street Suite 10-i, Mobile, AL 36617-2293 | 2017-12-29 |
| 1477912053 | Jennifer Davis | Speech-Language Pathologist | 301 Toftrees Ave, 345, State College, PA 16803-2074 | 2016-02-11 |
| 1427421908 | Jennifer Davis | Counselor | 925 Country Club Rd, Argyle, TX 76226 | 2015-11-05 |
| 1235501172 | Jennifer Lynn Davis | Home Health Aide | 139 Johnson St, Marion, OH 43302-3316 | 2015-10-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| Street Address |
12 PROSPECT AVE |
| City | RANDOLPH |
| State | VT |
| Zip Code | 05060-1359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497003099 | Courtney Austin | Pharmacist | 12 North Main St., Randolph, VT 05060 | 2012-08-29 |
| 1851467658 | John Leonard Westbrook | Dentist | 1422 Vt Rt 66, Randolph, VT 05060 | 2006-11-27 |
| 1750470829 | Christopher Mclean Wilson | Dentist | 55 Central Street, Randolph, VT 05060 | 2006-10-12 |
| 1538170006 | Eric C Medved | Physical Therapist | 44 South Main Street, Randolph, VT 05060 | 2006-08-10 |
| 1295100048 | Ashley Shepard | Counselor | 11 N Main St, Randolph, VT 05060 | 2015-12-04 |
| 1326434713 | Emilija O Florance | Family Medicine | 44 S Main St, Randolph, VT 05060 | 2015-04-13 |
| 1891117545 | Penny Fossman | Registered Nurse | 44 S Main St, Randolph, VT 05060 | 2014-01-15 |
| 1053679266 | Clara Martin Center | Community/Behavioral Health | 11 Main Street, Randolph, VT 05060 | 2012-04-25 |
| 1770840829 | Andrea L. Larosa | Nurse Practitioner | 44 South Main Street, Box 2000, Randolph, VT 05060 | 2012-04-13 |
| 1043498561 | Jessica Schupp | Counselor | 11 Main Street, Randolph, VT 05060 | 2008-02-06 |
| Find all providers in zip 05060 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447563093 | Nancy Enid Mejias-cepeda | Registered Nurse | 4 Nuko Ter, Randolph, NJ 07869-4106 | 2010-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439421 | Kathryn Leffel | Registered Nurse | 62 Maple St, Winooski, VT 05404-1932 | 2020-08-26 |
| 1467082776 | Judith Cabanaw | Registered Nurse | 12 River View Dr, Essex Junction, VT 05452-3855 | 2020-01-26 |
| 1932748811 | Rachel M Foxx | Registered Nurse | 37 Lincoln St, Essex Jct, VT 05452-3152 | 2019-12-25 |
| 1629520523 | Mary Wells | Registered Nurse | 682 Fiske Rd, Barton, VT 05822-9395 | 2016-10-26 |
| 1407271927 | Alice T Gonyar | Registered Nurse | 317 Isham Cir, Williston, VT 05495-2030 | 2014-02-20 |
| 1942623996 | Maureen Matthews | Registered Nurse | 130 Fischer Rd, Berlin, VT 05602 | 2014-01-28 |
| 1760821102 | Sara Genevieve Pennington | Registered Nurse | 134 Parkman Wood Rd, Putney, VT 05346 | 2013-06-19 |
| 1669810420 | Kathyrn J Harris | Registered Nurse | 1712 Green Mountain Tnpk, Chester, VT 05143 | 2013-06-13 |
| 1619218930 | Alice Norris | Registered Nurse | 55 Main St Ste 3, Essex Junction, VT 05452-6100 | 2013-03-12 |
| 1578891040 | Chelsea C Clark | Registered Nurse | 15 East Rd Unit 102, Fairfax, VT 05454-4450 | 2009-11-22 |
| 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.