COLETON SHANE DAVIS (NPI# 1225593247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225593247 |
| Entity Type | Individual |
| Full Name | COLETON SHANE DAVIS |
| Practice Address |
2200 Hickory St Abilene TX 79601-2345 |
| Mailing Address |
2510 Pine St # 4303 Abilene TX 79601-1508 |
| Practice Telephone | 9034941833 |
| Mailing Telephone | 9034941833 |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2200 HICKORY ST |
| City | ABILENE |
| State | TX |
| Zip Code | 79601-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962434118 | Mary Lou Garrett | Physical Therapist | 2200 Hickory St, Box 6065, Abilene, TX 79698-6065 | 2006-07-07 |
| 1669029674 | Emily Dean | Specialist | 2200 Hickory St, Abilene, TX 79601-2345 | 2019-08-23 |
| 1073169371 | Landon Schumacher | Specialist/Technologist | 2200 Hickory St, Abilene, TX 79601-2345 | 2019-08-13 |
| 1699336503 | Avantika Sathiraj | Student in an Organized Health Care Education/Training Program | 2200 Hickory St, Abilene, TX 79601-2345 | 2019-06-23 |
| 1700446069 | Lauren Ansley Mcdaniel | Physician Assistant | 2200 Hickory St, Abilene, TX 79601-2345 | 2019-06-19 |
| 1992260400 | Devin Casey Carrillo | Specialist/Technologist | 2200 Hickory St, Abilene, TX 79601-2345 | 2019-02-08 |
| 1922563162 | Joel Aaron Barnard | Student in an Organized Health Care Education/Training Program | 2200 Hickory St, Abilene, TX 79601-2345 | 2019-02-01 |
| 1972067338 | William Jennings Bryan Spencer | Student in an Organized Health Care Education/Training Program | 2200 Hickory St, Abilene, TX 79601-2345 | 2019-01-29 |
| 1326502782 | Elizabeth Ivy Waters | Student in an Organized Health Care Education/Training Program | 2200 Hickory St, Abilene, TX 79601-2345 | 2019-01-29 |
| 1235693698 | Mikayla Renee Orona | Student in an Organized Health Care Education/Training Program | 2200 Hickory St, Abilene, TX 79601-2345 | 2019-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161022 | Hendrick Health Urgent Care | Clinic/Center | 820 E Ambler Ave, Abilene, TX 79601 | 2020-10-15 |
| 1396303285 | Hardin-simmons University | Counselor | 917 Lineberry Blvd, Abilene, TX 79601 | 2019-06-05 |
| 1053874446 | Pharmscript of West Texas LLC | Pharmacy | 2118 E Overland Trl, Abilene, TX 79601 | 2019-04-11 |
| 1720523475 | Orsburn House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3602 N Clack, Abilene, TX 79601 | 2017-01-04 |
| 1316480684 | Thaddee Uwimana | Nurse Practitioner | 1749 Pine Street, Abilene, TX 79601 | 2016-11-18 |
| 1760938484 | Maya Natori | Specialist/Technologist | 108 Teague, Box 27916 Special Events Center Acu, Abilene, TX 79601 | 2016-09-01 |
| 1588016042 | Chucky Okoh | Nurse Practitioner | 13055 Sm 3522, Abilene, TX 79601 | 2016-07-08 |
| 1730539354 | Billy Bible | Social Worker | 1418 Newcastle Drive, Abilene, TX 79601 | 2016-06-14 |
| 1366840605 | Totoe Medical Group, Pllc | Internal Medicine | 1850 Hickory St., Suite 105, Abilene, TX 79601 | 2014-12-19 |
| 1831591395 | Abilene Christian University | Clinic/Center | 845 Coliseum Way, Abilene, TX 79601 | 2014-09-16 |
| Find all providers in zip 79601 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063032639 | Colin Bumann | Student in an Organized Health Care Education/Training Program | 8433 Saddle Creek Rd, Abilene, TX 79602-5457 | 2020-04-23 |
| 1902438559 | Lauri Cherese Bass | Student in an Organized Health Care Education/Training Program | 35 Lytle Place Dr, Abilene, TX 79602-7493 | 2020-02-11 |
| 1053968743 | Beckett Medford | Student in an Organized Health Care Education/Training Program | 2702 N Judge Ely Blvd # 1034c, Abilene, TX 79601-2121 | 2019-08-19 |
| 1538716212 | Tj Cleveland | Student in an Organized Health Care Education/Training Program | 2702 N Judge Ely Blvd Apt 622, Abilene, TX 79601-2121 | 2019-08-19 |
| 1457908154 | Kaela Nichole Cornelius | Student in an Organized Health Care Education/Training Program | 500 N Judge Ely Blvd Apt 17-201, Abilene, TX 79601-6535 | 2019-08-19 |
| 1003476698 | Lauren Elizabeth Farbiak | Student in an Organized Health Care Education/Training Program | 2334 Hickory St, Abilene, TX 79698-0001 | 2019-06-17 |
| 1881158244 | Hannah Mcguire | Student in an Organized Health Care Education/Training Program | Hsu Box #14953, Abilene, TX 79698-0001 | 2019-01-29 |
| 1144784505 | Brittany N. Acosta | Student in an Organized Health Care Education/Training Program | 2200 Hickory St # 14006, Abilene, TX 79601-2345 | 2019-01-29 |
| 1699239053 | Shelby Bassamore | Student in an Organized Health Care Education/Training Program | 2200 Hickory St # 14113, Abilene, TX 79601-2345 | 2019-01-29 |
| 1811022353 | Christine Hanson | Student in an Organized Health Care Education/Training Program | 5809 Quail Run Street, Abilene, TX 79605-5476 | 2007-02-23 |
| Find all providers in ABILENE | ||||
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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.