MARINNA ROSE DAVIDSON (NPI# 1245757244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245757244 |
| Entity Type | Individual |
| Full Name | MARINNA ROSE DAVIDSON |
| Practice Address |
11617 Headlands Trl Spencerville IN 46788 |
| Mailing Address |
11617 Headlands Trl Spencerville IN 46788-9278 |
| Practice Telephone | (260) 515-3883 |
| Mailing Telephone | 2605153883 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
11617 HEADLANDS TRL |
| City | SPENCERVILLE |
| State | IN |
| Zip Code | 46788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114495199 | Jenna Rode | Speech-Language Pathologist | 18923 Lochner Rd, Spencerville, IN 46788-9609 | 2018-11-07 |
| 1992951479 | Nannette Kay Acra, P.t.,professional Corporation | Early Intervention Provider Agency | 17718 N State Road 1, Spencerville, IN 46788-9623 | 2008-08-15 |
| 1558687947 | James L. Crawford IIi | Massage Therapist | 6821 County Road 51, Spencerville, IN 46788-9704 | 2010-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093271900 | Trent J Rahe | Nurse Practitioner | 424 East 4th Street, Spencerville, OH 45887 | 2019-02-15 |
| 1629576624 | Tracy Lynn Custer I | Licensed Practical Nurse | 105 Primrose Pl, Spencerville, OH 45887-1252 | 2018-01-25 |
| 1982008298 | Kaleb D Hensley | Case Manager/Care Coordinator | Hc 66 Box 60, Spencerville, OK 74760-9410 | 2014-10-15 |
| 1477893063 | Adjowa Sika Alidjah | Home Health Aide | 17021 Oak Hill Rd, Spencerville, MD 20868-3105 | 2013-02-19 |
| 1073858312 | Spencerville Local School District | Local Education Agency (LEA) | 2500 Wisher Dr, Spencerville, OH 45887-1293 | 2012-11-27 |
| 1043561145 | Amy E Edgington | Massage Therapist | 9354 Kephart Rd, Spencerville, OH 45887-9779 | 2012-09-28 |
| 1710216460 | Susan Leigh Oehlhof | Massage Therapist | 120 N. Broadway St., Time To Relax, Spencerville, OH 45887-1265 | 2009-12-09 |
| 1447497151 | Risi Marie Idiokitas | Acupuncturist | 2140 Spencerville Rd, Spencerville, MD 20868-3009 | 2009-01-16 |
| 1730398231 | Joy Miller | Counselor | 3356 S Conant Rd, Spencerville, OH 45887-9713 | 2007-05-21 |
| 1841412814 | Richard Stuart Buchanan | Dentist | 201 N, Broadway, Spencerville, OH 45887-1290 | 2007-05-02 |
| Find all providers in SPENCERVILLE | ||||
| 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 |
|---|---|---|---|---|
| 1982204442 | Stephanie Copeland | Student in an Organized Health Care Education/Training Program | 2508 Castor Ln, Madison, IN 47250-2496 | 2020-10-26 |
| 1801493226 | Justin Clark | Student in an Organized Health Care Education/Training Program | 7337 Wythe Dr, Noblesville, IN 46062-7785 | 2020-10-08 |
| 1962009639 | Raegan Michelle Walther | Student in an Organized Health Care Education/Training Program | 8489 W 700 N, Fair Oaks, IN 47943-8527 | 2020-10-06 |
| 1255938197 | Christopher Rodney West | Student in an Organized Health Care Education/Training Program | 8616 Burrell Ln, Indianapolis, IN 46256-6306 | 2020-10-05 |
| 1285241828 | Paris Janee Avant | Student in an Organized Health Care Education/Training Program | 8926 Mario Creek Dr, Indianapolis, IN 46234 | 2020-09-28 |
| 1740897362 | Taylor Traub | Student in an Organized Health Care Education/Training Program | 12890 Old Meridian St Apt 350, Carmel, IN 46032-8934 | 2020-09-28 |
| 1962016931 | Grant Sylvester Olsen | Student in an Organized Health Care Education/Training Program | 3910 Newport Ave Apt 13, Fort Wayne, IN 46805-1383 | 2020-09-07 |
| 1992318158 | Maria Yvette Borden | Student in an Organized Health Care Education/Training Program | University of Indianapolis, Health Pavilion 253, Indianapolis, IN 46217 | 2020-08-27 |
| 1073126504 | Emily Marie Shoupe | Student in an Organized Health Care Education/Training Program | 15342 Monterosa Dr, Granger, IN 46530-9494 | 2020-08-25 |
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
| City | SPENCERVILLE |
| Zip Code | 46788 |
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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.