MRS. KRISTINE COSTELLO DAVIS (NPI# 1265794218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265794218 |
| Entity Type | Individual |
| Full Name | MRS. KRISTINE COSTELLO DAVIS |
| Credential | PLMSW |
| Practice Address |
2153 E Joyce Blvd Fayetteville AR 72703-4714 |
| Mailing Address |
Po Box 383 Noel MO 64854-0383 |
| Practice Telephone | 4796360083 |
| Practice Fax Number | 4796360144 |
| Mailing Telephone | 4174756459 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932739810 | Kristine Marie Davis | Behavior Technician | 6770 N West Ave Ste 105, Fresno, CA 93711-1399 | 2020-01-20 |
| 1275916264 | Kristine Elizabeth Davis | Nurse Practitioner | 200 High Park Ave, Goshen, IN 46526-4810 | 2015-07-08 |
| 1609200666 | Kristine M Davis | Counselor | 412 Citico St, Knoxville, TN 37921-5811 | 2013-08-27 |
| 1770805962 | Kristine Anne Davis | Counselor | 230 S Court St, Suite 5, Medina, OH 44256-2275 | 2010-02-16 |
| 1861480394 | Kristine A Davis | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-10-10 |
| Street Address |
2153 E JOYCE BLVD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285898700 | Tracy Lee Marshall | Counselor | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2008-07-14 |
| 1326686619 | Demarcus G Wiggins | Case Manager/Care Coordinator | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2019-12-17 |
| 1649812355 | Stacy M Lee | Case Manager/Care Coordinator | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2019-10-14 |
| 1306494182 | Holly Womack-nelson | Case Manager/Care Coordinator | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2019-08-26 |
| 1386290443 | Wade Peter Freund | Counselor | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2019-08-14 |
| 1356811046 | Jennifer Jane Cook | Counselor | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2018-11-26 |
| 1073095451 | Rachel Riggs | Case Manager/Care Coordinator | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2018-09-03 |
| 1609356245 | Katie Davis | Case Manager/Care Coordinator | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2018-08-14 |
| 1467931204 | Elizabeth Evans Mongeau | Counselor | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2018-08-13 |
| 1730687997 | Addie Stipp | Counselor | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2018-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576352 | Bianca Faith Monroe | Counselor | 111 Lamon St Ste 100, Fayetteville, NC 28301-4917 | 2020-10-23 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1760032239 | Peyton Elaine Smith | Counselor | 2403 Main Dr Ste 1&2, Fayetteville, AR 72704-5223 | 2019-09-17 |
| 1467014746 | Tennille Kristine Wilson | Counselor | 6415 Camden Rd Ste 109, Fayetteville, NC 28306-7584 | 2019-07-08 |
| 1366914004 | Katie Frankum | Counselor | 6805 Woodmark Dr, Fayetteville, NC 28314-6458 | 2018-12-19 |
| 1588132534 | Sara Penney | Counselor | 351 Wagoner Dr Ste 135, Fayetteville, NC 28303-4608 | 2018-11-07 |
| 1578045589 | Tamara Smith Thom | Counselor | 2307 Cumberland Gap Dr, Fayetteville, NC 28306-6940 | 2018-09-06 |
| 1003393968 | Melissa Stone Martinez | Counselor | 175 Bradford Sq Ste D, Fayetteville, GA 30215-1967 | 2018-07-24 |
| 1629561568 | Hamlin Glover Consulting Group, LLC | Counselor | 3681 Raeburn Ct, Fayetteville, NC 28314-2623 | 2018-06-13 |
| 1861983439 | Jessica Lynne Smith | Counselor | 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 | 2018-05-19 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on MRS. KRISTINE COSTELLO DAVIS.
| 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.