MS. JULIANA BROOK DAVIS (NPI# 1235320235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235320235 |
| Entity Type | Individual |
| Full Name | MS. JULIANA BROOK DAVIS |
| Credential | TECHNICIAN |
| Practice Address |
2227 W Main St Ste 3 Jacksonville AR 72076-4207 |
| Practice Telephone | 5019859944 |
| Practice Fax Number | 5019856590 |
| Mailing Telephone | 5019859944 |
| Mailing Fax Number | 5019856590 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2017-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235500000X | Specialist/Technologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | IDTF | 400522327 | 01 |
| OK | MEDICARE ID | 400522335 | 01 |
| AR | 146940002 | 05 | |
| AR | IDTF | 5C724 | 01 |
| AR | MEDICARE ID | 5C652 | 01 |
| Street Address |
2227 W MAIN ST STE 3 |
| City | JACKSONVILLE |
| State | AR |
| Zip Code | 72076-4207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609976885 | Reginnia Marie Christian | Specialist/Technologist | 2227 W Main St, Jacksonville, AR 72076 | 2006-09-25 |
| 1144768235 | Lori G Main | Technician, Other | 2227 W Main St, Suite 3, Jacksonville, AR 72076-4207 | 2017-02-08 |
| 1295131399 | Misty Angelique Roetzel | Specialist/Technologist, Other | 2227 W Main St, Suite 3, Jacksonville, AR 72076-4207 | 2014-11-17 |
| 1447596648 | Christopher Douglas Bratton | Technician, Other | 2227 W Main St, Jacksonville, AR 72076-4207 | 2012-12-17 |
| 1407190234 | Candince Chimera Hodges | Technician, Other | 2227 W Main St, Ste #3, Jacksonville, AR 72076-4207 | 2012-11-16 |
| 1376892919 | Hollie Plummer | Technician, Other | 2227 W Main St, Jacksonville, AR 72076-4207 | 2012-08-29 |
| 1215282108 | Rachel Marie Robertson | Technician, Other | 2227 W Main St, Jacksonville, AR 72076-4207 | 2012-07-17 |
| 1841555778 | Jennifer M Saxton | Technician, Other | 2227 W Main St, Jacksonville, AR 72076-4207 | 2012-07-06 |
| 1922178060 | Doctors Testing Center LLC II | Family Medicine | 2227 W Main St, Suite 4, Jacksonville, AR 72076-4207 | 2006-11-08 |
| 1396845574 | Ronald F Davis | Specialist/Technologist | 2227 W Main St, Jacksonville, AR 72076-4207 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| 1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
| 1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
| 1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
| 1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
| 1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
| 1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
| 1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
| Find all providers in zip 72076 | ||||
| Taxonomy Code | 235500000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730421835 | Molly Beth Miles | Specialist/Technologist | 11 Baxter Pl, Jacksonville, IL 62650-1026 | 2013-03-27 |
| 1609976885 | Reginnia Marie Christian | Specialist/Technologist | 2227 W Main St, Jacksonville, AR 72076 | 2006-09-25 |
| 1487849139 | Atlantic Balance and Hearing | Specialist/Technologist | 6842 Arlington Expy, Jacksonville, FL 32211-7235 | 2007-09-06 |
| 1609095371 | Tammy L Sahagon | Specialist/Technologist | 2227 West Main St, Jacksonville, AR 72076 | 2007-04-24 |
| 1841323854 | Linda K Hollar | Specialist/Technologist | 2227 West Main St, Jacksonville, AR 72076 | 2007-03-13 |
| 1396845574 | Ronald F Davis | Specialist/Technologist | 2227 W Main St, Jacksonville, AR 72076-4207 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043554447 | Emily Lauren Tankersley | Specialist/Technologist | 3214 Southwest Dr, Jonesboro, AR 72404-8406 | 2012-11-26 |
| 1699253609 | Michelle Lynne Chapman | Specialist/Technologist | 4328 Central Ave Ste M, Hot Springs, AR 71913-5907 | 2018-08-01 |
| 1801173554 | Karen Sykes | Specialist/Technologist | 593 Horsebarn Rd, Rogers, AR 72758-8795 | 2011-11-09 |
| 1760677074 | Susan B. Jeter | Specialist/Technologist | 10618 Breckenridge Dr, Little Rock, AR 72211-1802 | 2007-09-10 |
| City | JACKSONVILLE |
| Zip Code | 72076 |
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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.