RICKY DAVIS (NPI# 1255976098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255976098 |
| Entity Type | Individual |
| Full Name | RICKY DAVIS |
| Practice Address |
2001 S Shields St Fort Collins CO 80526-1827 |
| Mailing Address |
4856 Innovation Dr Fort Collins CO 80525-5539 |
| Practice Telephone | 9704944200 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013413525 | Ricky Davis | Case Manager/Care Coordinator | 2803 Akron Rd, Wooster, OH 44691-7904 | 2018-04-03 |
| Street Address |
2001 S SHIELDS ST |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508863085 | Spring Creek Medical Park Outpatient Surgery Center LLC | Clinic/Center | 2001 S Shields St, Bldg F, Fort Collins, CO 80526-1827 | 2005-06-30 |
| 1528515616 | Sariah R Collard | Counselor | 2001 S Shields St, Fort Collins, CO 80526-1827 | 2016-09-06 |
| 1881017366 | Healing Warriors Program | Voluntary or Charitable | 2001 S Shields St, Building L, Fort Collins, CO 80526-1827 | 2014-02-04 |
| 1053747311 | Wendy Fleagane | Counselor | 2001 S Shields St, Bldg K, Fort Collins, CO 80526-1827 | 2013-09-18 |
| 1760818025 | Kirsten Goffena | Counselor | 2001 S Shields St, Building K, Fort Collins, CO 80526-1827 | 2013-09-18 |
| 1689012825 | Robert Larson Od PC | Optometrist | 2001 S Shields St, Ste. B-3, Fort Collins, CO 80526-1827 | 2013-06-10 |
| 1407299803 | Noel C Jensen | Acupuncturist | 2001 S Shields St, Ste H101, Fort Collins, CO 80526-1827 | 2013-04-16 |
| 1982956215 | Kelly J Keeler | Behavioral Analyst | 2001 S Shields St, Building K, Fort Collins, CO 80526-1827 | 2012-10-10 |
| 1588916118 | Adam J Doherty | Social Worker | 2001 S Shields St, Building K, Fort Collins, CO 80526-1827 | 2012-10-05 |
| 1750669289 | Lindsey Louise Cosper | Dentist | 2001 S Shields St, Bldg C-1, Fort Collins, CO 80526-1827 | 2011-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155493 | Ashleigh Jones | Peer Specialist | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2020-02-05 |
| 1871125195 | Bianca Tippie | Peer Specialist | 2001 S Shields St Ste G, Fort Collins, CO 80526-1834 | 2020-02-05 |
| 1013549344 | Kayleigh Harris | Peer Specialist | 242 Conifer St, Fort Collins, CO 80524-2043 | 2020-02-05 |
| 1306488846 | Corina Haley Miller | Peer Specialist | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2019-10-16 |
| 1154895738 | Susan Barnes | Peer Specialist | 1217 Riverside Ave, Fort Collins, CO 80524-3218 | 2019-01-16 |
| 1730545682 | Lisa L Carlson | Peer Specialist | 1217 Riverside Ave, Fort Collins, CO 80524-3218 | 2016-01-07 |
| 1811393002 | James S Lucas | Peer Specialist | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2014-11-14 |
| 1164828497 | Evan Lloyd | Peer Specialist | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2014-11-13 |
| 1649607110 | Amie Potter | Peer Specialist | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2013-09-30 |
| 1386070548 | Joel Sanford | Peer Specialist | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2013-09-19 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
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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.