LUCRETIA DAVIS (NPI# 1285269241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285269241 |
| Entity Type | Individual |
| Full Name | LUCRETIA DAVIS |
| Practice Address |
625 Taylorsville Rd Taylorsville KY 40071-7798 |
| Mailing Address |
12201 Bluegrass Pkwy Louisville KY 40299-2361 |
| Practice Telephone | 5024778838 |
| Practice Fax Number | 5024772273 |
| Mailing Telephone | 5025687364 |
| Mailing Fax Number | 5025687136 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1123437 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | LICENSE | RN1123437 | 01 |
| Street Address |
625 TAYLORSVILLE RD |
| City | TAYLORSVILLE |
| State | KY |
| Zip Code | 40071-7798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902807019 | Mary S Mclaughlin | Physician Assistant | 625 Taylorsville Rd, Taylorsville, KY 40071-7798 | 2005-08-10 |
| 1417330549 | Rachel Weedman | Nurse Practitioner | 625 Taylorsville Rd, Taylorsville, KY 40071-7798 | 2015-07-07 |
| 1679764955 | Lp Taylorsville LLC | Skilled Nursing Facility | 625 Taylorsville Rd, Taylorsville, KY 40071-7798 | 2007-08-05 |
| 1982683439 | Hqm of Spencer County, Inc | Skilled Nursing Facility | 625 Taylorsville Rd, Taylorsville, KY 40071-7798 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322841 | Debbie Long | Registered Nurse | 88 Spears Drive, Taylorsville, KY 40071 | 2016-08-28 |
| 1679869184 | Matthew Alan Bormann | Dentist | 501 Taylorsville Rd., Taylorsville, KY 40071 | 2011-06-22 |
| 1023325594 | Patrick Daniel Bray | Physical Therapist | 4813 Taylorsville Rd., Taylorsville, KY 40071 | 2010-09-07 |
| 1043522584 | Ernest John Kettig | Durable Medical Equipment & Medical Supplies | 206 Taylorsville Rd., Ste. A, Taylorsville, KY 40071 | 2010-07-13 |
| 1922202480 | Kristen Smotherman | Counselor | 73 East Main Street, Taylorsville, KY 40071 | 2007-06-11 |
| 1669590774 | Bg House Enterprises Inc | Physical Therapist | 4813 Taylorsville Rd, Taylorsville, KY 40071 | 2007-03-27 |
| 1346263324 | Scpg Kentucky LLC | Pharmacy | 847 Taylorsville Rd, Taylorsville, KY 40071 | 2006-07-25 |
| 1154375020 | Ethel Darline Luster Caldwell | Nurse Practitioner | 870 Taylorsville Road, Taylorsville, KY 40071 | 2006-05-22 |
| 1023080884 | North Central District Health Dept. | Public Health or Welfare | 88 Spears Dr, Taylorsville, KY 40071 | 2006-02-06 |
| 1801343140 | Melissa Ann Hines | Nurse Practitioner | 501 Taylorsville Rd., Taylorsville, KY 40071 | 2016-09-03 |
| Find all providers in zip 40071 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245890383 | Arlene R Holland | Nurse Practitioner | 3042 W Ivory Way, Taylorsville, UT 84129-6800 | 2019-06-20 |
| 1821562646 | Emily Rose Pierce | Nurse Practitioner | 1127 Chatman Ln, Taylorsville, KY 40071-9783 | 2019-01-15 |
| 1023467313 | Carrie Chestnut Herman | Nurse Practitioner | 50 Macedonia Church Rd Ste A, Taylorsville, NC 28681-8414 | 2016-06-07 |
| 1831334077 | Michelle A. Neeshan | Nurse Practitioner | 4600 S Redwood Rd # Stc048, Taylorsville, UT 84123-3145 | 2008-12-02 |
| 1154375020 | Ethel Darline Luster Caldwell | Nurse Practitioner | 870 Taylorsville Road, Taylorsville, KY 40071 | 2006-05-22 |
| 1104815141 | Sharon S Jamison | Nurse Practitioner | 501 Taylorsville Rd, Taylorsville, KY 40071-6766 | 2005-10-20 |
| 1932718590 | Darren L Sorensen | Nurse Practitioner | 6575 S Redwood Rd, Taylorsville, UT 84123-5688 | 2020-07-29 |
| 1447891676 | Shamis Tate | Nurse Practitioner | 6575 S Redwood Rd Ste 350, Taylorsville, UT 84123-5693 | 2019-09-29 |
| 1861046773 | Brooke Nicole-hayes Massenburg | Nurse Practitioner | 31 E Main Ave, Taylorsville, NC 28681-2540 | 2019-07-29 |
| 1700303518 | Tara Tedder | Nurse Practitioner | 338 1st Ave Sw, Taylorsville, NC 28681-2402 | 2017-08-23 |
| Find all providers in TAYLORSVILLE | ||||
| City | TAYLORSVILLE |
| Zip Code | 40071 |
Please comment or provide details below to improve the information on LUCRETIA 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.