LISA MARIA DAVIS


Address: 1100 S Main St, Bldg B Suite 20, Las Cruces, NM 88005-2917
Phone: 5755255635

LISA MARIA DAVIS (NPI# 1225216344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225216344
Entity Type Individual
Full Name LISA MARIA DAVIS
Practice Address 1100 S Main St
Bldg B Suite 20
Las Cruces
NM 88005-2917
Mailing Address 1029 La Fonda Dr
# 5
Las Cruces
NM 88001-4063
Practice Telephone 5755255635
Enumeration Date 2008-01-31
Last Update Date 2008-01-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers LISA DAVIS

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1306444633 Lisa Davis Technician 595 Trenum Dr, Keyser, WV 26726-7058 2020-10-09
1366054454 Lisa M Davis Home Health Aide 1300 H St Ne Apt 306, Washington, DC 20002-6827 2020-08-19
1689291452 Lisa Davis Dietitian, Registered 5155 Crystal Brook Dr, Morristown, TN 37814-1598 2020-06-28
1760025407 Lisa Davis Speech-Language Pathologist 7121 Wren Ave Nw, North Canton, OH 44720-7054 2019-10-25
1326699869 Lisa M Davis Registered Nurse 295 Sumpter St, Brooklyn, NY 11233-2712 2019-09-26
1194223727 Lisa Duncan Davis Dietitian, Registered 217 Harr Town Rd, Blountville, TN 37617-3830 2018-01-29
1114464708 Lisa Davis Nurse Practitioner 16812 Eldamere Ave, Cleveland, OH 44128-1516 2017-01-20
1639613573 Lisa Davis Day Training, Developmentally Disabled Services 8937 1/2 S Western Ave, Los Angeles, CA 90047-3549 2016-12-12
1275087264 Lisa Davis Dental Hygienist 5901 Stone Pine Rd, Wilmington, DE 19808-1015 2016-08-08
1376919753 Lisa Davis Licensed Practical Nurse 30780 Barrington St, Madison Heights, MI 48071-1834 2015-08-19

Office Location

Street Address 1100 S MAIN ST
BLDG B SUITE 20
City LAS CRUCES
State NM
Zip Code 88005-2917

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679578611 Francisco Hilario Crespin Family Medicine 1100 S Main St, Ste A, Las Cruces, NM 88005-2952 2005-06-16
1336624311 Crystal Verduzco Behavior Technician 1100 S Main St, Las Cruces, NM 88005-2917 2018-09-26
1659641777 Diabetes Solutions Health Educator 1100 S Main St, Ste. 2, Las Cruces, NM 88005-2917 2012-01-05
1508159906 Carlene Hurst Registered Nurse 1100 S Main St, Ste 2, Las Cruces, NM 88005-2917 2011-05-18
1255657474 Nicole Judith Romero Counselor 1100 S Main St, Las Cruces, NM 88005-2917 2010-04-13
1528234895 Tricia Wheeler Dietitian, Registered 1100 S Main St, Suite 9, Las Cruces, NM 88005-2917 2008-05-06
1568638468 Constance M Fetters Local Education Agency (LEA) 1100 S Main St, Suite 9, Las Cruces, NM 88005-2917 2008-05-01
1134390768 Constance Marie Fetters Registered Nurse 1100 S Main St, Suite 9, Las Cruces, NM 88005-2917 2008-03-24
1255541793 Richard Enriquez Case Manager/Care Coordinator 1100 S Main St, Suite 20, Las Cruces, NM 88005-2917 2007-05-23
1720296304 Monique Elaine Apodaca-armendariz Case Manager/Care Coordinator 1100 S Main St, Suite 20, Las Cruces, NM 88005-2917 2007-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871158345 Raymond Pope Stewart Jr. Community Health Worker 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 2019-05-09
1538638481 Jennifer Mcafee Social Worker 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 2018-11-21
1023583226 Richard Flores Physical Therapist 1090 Med Park Dr., Las Cruces, NM 88005 2018-10-04
1558850834 Connections Therapy, Inc. Counselor 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 2018-05-02
1982134771 Madalyn Elyse Sprague Behavior Technician 1007 Ellendale Dr, Las Cruces, NM 88005 2017-06-14
1043766249 Leandra Gabrielle Abeyta Registered Nurse 2363 W University Ave, Las Cruces, NM 88005 2016-08-28
1790172641 Amistad Milestones LLC Speech-Language Pathologist 3100 Oak Street, Las Cruces, NM 88005 2015-04-17
1043628753 Richael Anne Bouvet-jenkins Social Worker 755 W. Hadley Avenue, Las Cruces, NM 88005 2014-07-25
1194133801 Helena Catalina Melendez Dental Hygienist 385 Calle Alegra Blg C, Las Cruces, NM 88005 2014-07-25
1447668256 Cherie O'dell Specialist 1758 Highland Ave, Las Cruces, NM 88005 2014-07-24
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447658398 Jose Renteria Case Manager/Care Coordinator 8957 Mission Ln, Las Cruces, NM 88012-6540 2014-12-09
1003214941 Rosa Smith Case Manager/Care Coordinator 5022 Calle De Ranchero, Las Cruces, NM 88012 2014-12-09
1972901973 Thomas Scarbrough Case Manager/Care Coordinator 2948 Cheyenne Dr, Las Cruces, NM 88011-5257 2014-12-08
1124421920 Abraham Vasquez Case Manager/Care Coordinator 3303 Oak St, Las Cruces, NM 88005-7725 2014-10-07
1649672825 Joel Corral Case Manager/Care Coordinator 1505 Roberts Dr, Las Cruces, NM 88005-3159 2014-09-19
1851701494 Viola E Garcia Case Manager/Care Coordinator 100 W Griggs, Las Cruces, NM 88001 2014-05-05
1801206974 Sonnie Michelle Sanchez Case Manager/Care Coordinator 2211 N. Valley Dr., Las Cruces, NM 88007 2014-04-29
1477973477 Mary Diane Basler White Case Manager/Care Coordinator 1626 E. Las Cruces Ave., Las Cruces, NM 88001 2014-04-17
1376963462 Nora Garcia Case Manager/Care Coordinator 4331 Soda Spring Dr., Las Cruces, NM 88011 2014-04-16
1932528171 Carrie A Jones Case Manager/Care Coordinator 2211 N. Valley, Las Cruces, NM 88007 2014-04-15
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Competitor

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City LAS CRUCES
Zip Code 88005

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Dataset Information

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.

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