LAURIE E DAVIS (NPI# 1205937836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205937836 |
| Entity Type | Individual |
| Full Name | LAURIE E DAVIS |
| Other Name | LAURIE E DAVIS |
| Credential | MPAS, PA-C |
| Practice Address |
1040 N James M Campbell Blvd Ste 108 Columbia TN 38401-2758 |
| Practice Telephone | 9315488657 |
| Practice Fax Number | 9315488658 |
| Mailing Telephone | 9315488657 |
| Mailing Fax Number | 9315488658 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2019-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA1942 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 352 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1886 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | WINHEALTH PARTNERS | 26272 | 01 |
| WY | BLUE CROSS BLUE SHIELD | 313836 | 01 |
| WY | 122038100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669755120 | Laurie Erin Davis | Counselor | 2300 Fairview Rd Apt T202, Costa Mesa, CA 92626-6438 | 2011-09-21 |
| 1083720007 | Laurie E Davis | Massage Therapist | 615 Se Chkalov Dr Ste 7, Vancouver, WA 98683-5200 | 2006-08-22 |
| 1992211700 | Laurie A. Davis | Nurse Practitioner | 760 Main St, Sacramento, KY 42372-9405 | 2017-12-18 |
| 1558749481 | Laurie K Davis | Case Manager/Care Coordinator | Building 150 John Norquay Street, Belcourt, ND 58316 | 2015-05-12 |
| 1871902031 | Laurie Davis | Specialist/Technologist, Other | 711 Medford Ctr, #318, Medford, OR 97504-6772 | 2014-08-12 |
| 1467872861 | Laurie Davis | Licensed Practical Nurse | 3300 James Street, Suite 201, Syracuse, NY 13206-2392 | 2014-04-24 |
| 1295177111 | Laurie Jean Davis | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-07-19 |
| 1518308204 | Laurie Michelle Davis | Pediatrics | 161 Fort Washington Ave, New York, NY 10032-3729 | 2013-07-10 |
| 1730526849 | Laurie Jo Davis | Registered Nurse | 500 S 3rd Ave, Big Rapids, MI 49307-9501 | 2013-05-30 |
| 1477633659 | Laurie J. Davis | Nurse Practitioner | 420 Golf Club Rd Se, Suite 204, Lacey, WA 98503-1048 | 2006-10-16 |
| Street Address |
1040 N JAMES M CAMPBELL BLVD STE 108 |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401-2758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770594079 | John G Garrett | Pain Medicine | 1040 N James M Campbell Blvd Ste 108, Columbia, TN 38401-2758 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392495 | Stephanie Meyer | Physician Assistant | 5 Medical Park Road Palmetto Health, Columbia, SC 29203 | 2017-12-18 |
| 1629434279 | Jennifer Templeton | Physician Assistant | 110 Highland Center Drive, Columbia, SC 29203 | 2016-01-12 |
| 1184023871 | Candace Parker Fleming | Physician Assistant | 109 W Legion Ave, Columbia, IL 62236-2341 | 2014-08-19 |
| 1194147470 | Frederick Parker | Physician Assistant | 9 Richland Medical Park Drive, Suite 450, Columbia, SC 29203 | 2014-01-06 |
| 1780999037 | Spectrum Pain Clinics, Inc | Physician Assistant | 230 East James Campbell Blvd, Suite 102, Columbia, TN 38401 | 2010-08-11 |
| 1770728834 | Joan Chandler Hornick | Physician Assistant | 2 Medical Park Rd Ste 404, Columbia, SC 29203-6875 | 2008-12-03 |
| 1164683926 | Kimberly Shirk | Physician Assistant | 612 Saint Andrews Rd Ste 2, Columbia, SC 29210-5120 | 2008-06-24 |
| 1295869485 | Karen Traynham | Physician Assistant | 303 N Keene St Ste 301, Columbia, MO 65201-7193 | 2007-03-16 |
| 1508926817 | Nina D Garcia | Physician Assistant | 8850 Columbia 100 Pkwy Ste 316, Columbia, MD 21045-2377 | 2006-12-11 |
| 1467526418 | Tamenia Bluford Bluford | Physician Assistant | 4 N Bay Xing, Columbia, SC 29229-7507 | 2006-11-20 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on LAURIE E DAVIS.
| 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.