JERRY DAVIS (NPI# 1306298591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306298591 |
| Entity Type | Individual |
| Full Name | JERRY DAVIS |
| Practice Address |
3401 Eudora St Denver CO 80207-2500 |
| Practice Telephone | 3033006333 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1821179003 | Jerry Thomas Davis | Family Medicine | 6302 A Jacksboro Hwy, Fort Worth, TX 76135-3602 | 2006-10-17 |
| 1356357495 | Jerry Wayne Davis | General Acute Care Hospital | 2715 Avenue N, Nederland, TX 77627-7814 | 2006-07-31 |
| 1457323560 | Jerry Davis | Counselor | 1530 Commerce Park West Drive, Greensburg, IN 47240 | 2006-02-02 |
| 1578046538 | Jerry L Davis Jr. | Behavior Technician | 4778 Overton Rd, Birmingham, AL 35210-3803 | 2018-09-14 |
| 1699083436 | Jerry Heath Davis | Pharmacist | 120 Carbon City Rd, Morganton, NC 28655-4226 | 2010-09-15 |
| 1225365265 | Jerry Bernard Davis | Pharmacist | 6551 Forest Hill Dr, Forest Hill, TX 76140-1205 | 2009-11-12 |
| 1932300563 | Jerry Davis | Counselor | 348 13th St, Brooklyn, NY 11215-5004 | 2007-05-30 |
| 1912045683 | Jerry Davis | Pharmacist | 310 15th Ave E, Seattle, WA 98112-5103 | 2007-02-02 |
| 1639220684 | Jerry Carl Davis | Pharmacist | 110 W 2nd St, Kenly, NC 27542 | 2007-01-16 |
| 1114003597 | Jerry Robert Davis | Dentist | 494 S Emerson Ave, Suite K, Greenwood, IN 46143-1912 | 2006-10-28 |
| Street Address |
3401 EUDORA ST |
| City | DENVER |
| State | CO |
| Zip Code | 80207-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912999368 | Mary L. Sterritt | Social Worker | 3401 Eudora St, Denver, CO 80207 | 2005-08-19 |
| 1093314809 | Kids In Need of Dentistry | Clinic/Center | 3401 Eudora St, Denver, CO 80207-2500 | 2020-10-22 |
| 1114539798 | Shakera Bryant | Social Worker | 3401 Eudora St, Denver, CO 80207-2500 | 2020-08-17 |
| 1124639117 | Erin Leigh Glackin | Student in an Organized Health Care Education/Training Program | 3401 Eudora St, Denver, CO 80207-2500 | 2020-08-12 |
| 1295364776 | Drew Isabella Feldbaum | Counselor | 3401 Eudora St, Denver, CO 80207-2500 | 2020-04-06 |
| 1659907525 | Raquel Tarantino | Social Worker | 3401 Eudora St, Denver, CO 80207-2500 | 2020-03-23 |
| 1629617626 | Katherine Marie Mason | Social Worker | 3401 Eudora St, Denver, CO 80207-2500 | 2019-12-23 |
| 1629628367 | J'kayla Lawson | Student in an Organized Health Care Education/Training Program | 3401 Eudora St, Denver, CO 80207-2500 | 2019-09-15 |
| 1356991103 | Julia Hamlett | Social Worker | 3401 Eudora St, Denver, CO 80207-2500 | 2019-09-13 |
| 1619522216 | Natalie Holifield | Social Worker | 3401 Eudora St, Denver, CO 80207-2500 | 2019-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899350 | Angelica Seto Dds Pllc | Clinic/Center | 2842 Fairfax St, Denver, CO 80207 | 2020-07-29 |
| 1770125593 | Lisa Hagerman | Registered Nurse | 3674 Dexter St, Denver, CO 80207 | 2019-10-14 |
| 1265905954 | Madeline Goldberg | Physical Therapist | 3401 Quebec St., Suite 3100, Denver, CO 80207 | 2019-01-06 |
| 1457828055 | Element Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3875 Newport St Unit C, Denver, CO 80207 | 2018-11-01 |
| 1326408295 | Abraham Haile | Behavioral Analyst | 3355 Locust St, Denver, CO 80207 | 2016-03-04 |
| 1487091443 | Derek Stephen Owens | Dentist | 3255 Locust St., Denver, CO 80207 | 2013-05-31 |
| 1275875338 | Brienne Stotts | Counselor | 3355 Hudson Street #7473, Denver, CO 80207 | 2013-03-26 |
| 1790052538 | Stephanie Marie Ratner | Social Worker | 3401 North Eudora Street, Denver, CO 80207 | 2011-11-22 |
| 1679876908 | Carol Larocque | Counselor | 3401 Eudora St., Denver, CO 80207 | 2010-12-08 |
| 1295037026 | Lena Dunning | Social Worker | 3404 N Eudora Street, Denver, CO 80207 | 2010-11-30 |
| Find all providers in zip 80207 | ||||
| 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 |
|---|---|---|---|---|
| 1194331041 | Jackky Sirichantho | Counselor | 2755 S Locust St Ste 216, Denver, CO 80222-7132 | 2020-09-16 |
| 1245845866 | Lily Buthod | Counselor | 2512 S University Blvd Apt 504, Denver, CO 80210-6147 | 2020-09-10 |
| 1598379638 | Lauren Gardner | Counselor | 5100 Leetsdale Dr Apt 102, Denver, CO 80246-8131 | 2020-09-05 |
| 1588278048 | Cassandra Goar | Counselor | 8720 Franklin St, Denver, CO 80229-5051 | 2020-09-02 |
| 1689286486 | Kyle Holmes | Counselor | 4800 E Cherry Creek South Dr Apt B100, Denver, CO 80246-2297 | 2020-08-21 |
| 1780295766 | Tara Jean Barrett | Counselor | 3055 N Monroe St, Denver, CO 80205-4943 | 2020-08-12 |
| 1801407382 | Mary Emma Fawcett | Counselor | Tennyson Center for Children, 2950 Tennyson St, Denver, CO 80212 | 2020-08-10 |
| 1841800935 | Lucy Klein | Counselor | 530 25th St Apt 201, Denver, CO 80205-2959 | 2020-08-04 |
| 1063039048 | Senite Sahlezghi | Counselor | 6240 Smith Rd, Denver, CO 80216-4632 | 2020-06-25 |
| 1033734108 | Kelly Kreuzberger | Counselor | 1390 S Garfield St, Denver, CO 80210-2532 | 2020-06-14 |
| Find all providers in DENVER | ||||
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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.