CARLA L DAVIS (NPI# 1215572409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215572409 |
| Entity Type | Individual |
| Full Name | CARLA L DAVIS |
| Practice Address |
3709 N. 41st Street Milwaukee WI 53216-3044 |
| Mailing Address |
3709 N 41st St Milwaukee WI 53216-3044 |
| Practice Telephone | 4144997270 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3709 N 41st St, Milwaukee, WI 532163044 | 4144997270 | |
| 3709 N 41st Street, Milwaukee, WI 532163044 | 4144997270 | |
| 3709 N. 41st Street, Milwaukee, WI 532163044 | 4144997270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194888040 | Carla Rae Davis | Counselor | 607 8th St Sw, Suite C, Altoona, IA 50009-2314 | 2006-12-19 |
| 1568472785 | Carla Elaine Davis | Family Medicine | 3075 N Reserve St, Suite Q, Missoula, MT 59808-1389 | 2006-08-09 |
| 1457901639 | Carla Davis | Nurse Practitioner | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2019-09-18 |
| 1881100576 | Carla R Davis | Counselor | 1015 W Lawrence Ave Fl 2, Chicago, IL 60640-5017 | 2017-12-18 |
| 1467756478 | Carla Davis | Counselor | 2667 Highway 145, Saltillo, MS 38866-9771 | 2011-01-05 |
| 1457586638 | Carla Ann Davis | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2009-05-18 |
| 1497920433 | Carla M Davis | Occupational Therapist | 3703 W Lake Ave, Suite 200, Glenview, IL 60026-5823 | 2008-04-29 |
| 1235325291 | Carla Rana Davis | Nurse Practitioner | 920 2nd Ave S, Minneapolis, MN 55402-3318 | 2007-09-24 |
| 1194915827 | Carla Davis | Counselor | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2007-07-30 |
| 1679653018 | Carla Davis | Pediatrics | 6701 Fannin St, Houston, TX 77030-2316 | 2006-10-17 |
| Street Address |
3709 N. 41ST STREET |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216-3044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958781 | Family Connections Resource Center LLC | Preferred Provider Organization | 6830 W Villard Ave Ste 301, Milwaukee, WI 53218-3968 | 2020-06-30 |
| 1649668179 | Guiding Hearts Home Health Care | Preferred Provider Organization | 2867 N 45th St, Milwaukee, WI 53210-1714 | 2015-01-07 |
| 1598195281 | Rexnord Health and Wellness Center | Preferred Provider Organization | 1301 W Canal St, Suite 200, Milwaukee, WI 53233-2667 | 2013-11-18 |
| 1679907828 | Life Touches Home Healthcare, LLC | Preferred Provider Organization | 4234 N 76th St, Suite A, Milwaukee, WI 53222-2002 | 2013-08-23 |
| 1164763926 | Jannah Home Healthcare | Preferred Provider Organization | 2133 W North Ave, Milwaukee, WI 53205-1133 | 2013-03-04 |
| 1407390800 | Premier Healthcare Services | Preferred Provider Organization | 10425 W North Ave, Suite 345, Milwaukee, WI 53226-2416 | 2016-12-05 |
| 1306257829 | Milwakee Health Service Systems Ll | Preferred Provider Organization | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2014-05-19 |
| 1689004319 | Mutual Health Center | Preferred Provider Organization | 633 E Mason St, Milwaukee, WI 53202-3813 | 2013-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912372418 | Avada Audiology and Hearing Care | Preferred Provider Organization | 813 Fox Lane Suite B, Waterford, WI 53404 | 2015-12-09 |
| 1972919314 | Psychological & Hr Consulting LLC | Preferred Provider Organization | 4317 N Stowell Ave, Shorewood, WI 53211-1748 | 2014-07-07 |
| 1508296237 | Wps Health and Wellness Center | Preferred Provider Organization | 1707 W Broadway, Monona, WI 53713-1834 | 2013-11-15 |
| 1003151366 | The Wellness Way Appleton | Preferred Provider Organization | W3169 Van Roy Rd, Ste #11, Appleton, WI 54915-3985 | 2012-11-27 |
| 1639446172 | Professional Home Care Providers | Preferred Provider Organization | 10152 8th Ave, Pleasant Prairie, WI 53158-5413 | 2011-11-29 |
| 1174782510 | Castle Home Care, Inc | Preferred Provider Organization | 11125 W Layton Ave, Greenfield, WI 53228-3117 | 2008-06-02 |
| 1851577829 | Eye Clinic Sc | Preferred Provider Organization | 7363 State Road 50, Lake Geneva, WI 53147-4516 | 2008-01-21 |
| 1891898219 | State Medicaid | Preferred Provider Organization | 824 Lothe St, Sun Prairie, WI 53590-2710 | 2006-09-07 |
| 1831547397 | Innovation Alliance Ipa LLC | Preferred Provider Organization | 2105 E Enterprise Ave, Suite 101, Appleton, WI 54913-7862 | 2016-05-25 |
| 1639553100 | Ho-chunk Health Care Center | Preferred Provider Organization | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 | 2015-07-15 |
| 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.