TAISHA S DAVIS (NPI# 1164944294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164944294 |
| Entity Type | Individual |
| Full Name | TAISHA S DAVIS |
| Other Name | TAISHA S PENNY |
| Credential | NP |
| Practice Address |
855 State Route 17m Monroe NY 10950-1600 |
| Mailing Address |
155 Crystal Run Rd Middletown NY 10941-4028 |
| Practice Telephone | 8457036999 |
| Practice Fax Number | 8457036297 |
| Mailing Telephone | 8457036999 |
| Mailing Fax Number | 8457036297 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F341964 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
855 STATE ROUTE 17M |
| City | MONROE |
| State | NY |
| Zip Code | 10950-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992797500 | Kimberly A. Estler | Obstetrics & Gynecology | 855 State Route 17m, Monroe, NY 10950-1600 | 2005-08-19 |
| 1003463803 | Alyssa Danielle Bujalski | Nurse Practitioner | 855 State Route 17m, Monroe, NY 10950-1600 | 2019-08-26 |
| 1154861060 | Caitlin Lakeman | Nurse Practitioner | 855 State Route 17m, Monroe, NY 10950-1600 | 2017-02-27 |
| 1760931844 | Crystal Run Healthcare Physicians LLP | Durable Medical Equipment & Medical Supplies | 855 State Route 17m, Monroe, NY 10950-1600 | 2016-09-29 |
| 1649633355 | Rashek Kazi | Dermatology | 855 State Route 17m, Monroe, NY 10950-1600 | 2016-03-30 |
| 1720462369 | Zohra Ludmerer | Nurse Practitioner | 855 State Route 17m, Monroe, NY 10950-1600 | 2015-07-14 |
| 1922409994 | Munish Kumar | Pediatrics | 855 State Route 17m, Monroe, NY 10950-1600 | 2014-09-10 |
| 1265844898 | Ashwin Vilas Rangavajjula | Pain Medicine | 855 State Route 17m, Monroe, NY 10950-1600 | 2014-06-02 |
| 1174941967 | Bhakti Shah | Internal Medicine | 855 State Route 17m, Monroe, NY 10950-1600 | 2014-03-31 |
| 1750627683 | Katherine D Wood | Podiatrist | 855 State Route 17m, Monroe, NY 10950-1600 | 2012-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588202063 | Tova Schur | Physician Assistant | 2 Strelisk Court, Monroe, NY 10950 | 2019-12-16 |
| 1265947238 | Brenda Ayllene Sabatello | Specialist | 126 Barr Lne, Monroe, NY 10950 | 2017-12-12 |
| 1740719038 | Heartstrings LLC | Home Health | 6 Mountain Road, Unit 204, Monroe, NY 10950 | 2017-06-08 |
| 1841739752 | Committed Home Care Inc. | Home Health | 14 Fillmore Court Unit 311, Monroe, NY 10950 | 2017-02-13 |
| 1104362813 | Alison Guiney | Case Manager/Care Coordinator | 101 Stage Road, Monroe, NY 10950 | 2017-01-19 |
| 1710436332 | Elite Services Ny Inc. | Home Health | 48 Bakertown Road Suite 204, Monroe, NY 10950 | 2016-09-23 |
| 1780047084 | Stephanie Santiago | Occupational Therapy Assistant | 27 Sandra Ln, Monroe, NY 10950 | 2016-04-04 |
| 1851770440 | Priority Home Care Services, Inc. | Home Health | 48 Bakertown Road, Suite 204, Monroe, NY 10950 | 2015-05-28 |
| 1518344274 | Mydesh Inc | Pharmacy | 581 Nys Route 17m, Monroe, NY 10950 | 2015-05-01 |
| 1942694377 | Yenty Fischel | Occupational Therapist | 1 Diner Rd, Monroe, NY 10950 | 2015-03-24 |
| Find all providers in zip 10950 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
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|---|---|---|---|---|
| 1144847211 | Pelican Mobile Health, LLC | Nurse Practitioner | 105 Aycock Rd, Monroe, LA 71203-9335 | 2020-07-06 |
| 1205370558 | Georgianne Ashley Summer | Nurse Practitioner | 538 Roscoe Davis Rd Sw, Monroe, GA 30656-7915 | 2016-12-06 |
| 1790146744 | Katerina Listopad | Nurse Practitioner | 24 Grandview Trl, Monroe, NY 10950-6623 | 2016-03-17 |
| 1851750749 | Barbara A. Mahon | Nurse Practitioner | 19 Turnberry Ct, Monroe, NY 10950-5574 | 2016-02-19 |
| 1417171232 | Sheryl E Allbert | Nurse Practitioner | 16730 177th Ave Se, Monroe, WA 98272 | 2007-04-12 |
| 1710974969 | Kami Worley Wiedeman | Nurse Practitioner | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2005-10-03 |
| 1457875908 | Patricia Ann O'rourke | Nurse Practitioner | 1016 E Spring St, Monroe, GA 30655-2469 | 2017-07-26 |
| 1003365008 | Brittany Simpson | Nurse Practitioner | 515 22nd Ave, Monroe, WI 53566-1569 | 2016-10-02 |
| 1508314667 | Yunmi Choi | Nurse Practitioner | 324 Elm St, 202b, Monroe, CT 06468-2280 | 2016-09-19 |
| 1376999011 | Barbara Misiano | Nurse Practitioner | 324 Elm St, Suite 202b, Monroe, CT 06468-2280 | 2016-05-12 |
| Find all providers in MONROE | ||||
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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.