MRS. KIMBERLY DAVIS (NPI# 1306909262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306909262 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY DAVIS |
| Credential | MHT, RC |
| Practice Address |
11629 Avondale Rd Ne Avondale House Redmond WA 98052-2201 |
| Mailing Address |
1600 E Olive St Seattle Mental Health Seattle WA 98122-2735 |
| Practice Telephone | 4256535070 |
| Mailing Telephone | 2063022200 |
| Mailing Fax Number | 2063022210 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
RC00055464 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052470 | Kimberly Michel Davis | Registered Nurse | 4560 Atwater Ct Ste 105-2, Buford, GA 30518-3497 | 2020-01-14 |
| 1477194686 | Kimberly Sienna Davis | Counselor | 17510 Huffmeister Rd Ste 102, Cypress, TX 77429-6785 | 2019-09-30 |
| 1457908550 | Kimberly Davis | Speech-Language Pathologist | 203 Roach Rd, Choudrant, LA 71227-3625 | 2019-08-22 |
| 1619438462 | Kimberly Ann Davis | Registered Nurse | 234 E Dobkins St, Dublin, TX 76446-2713 | 2019-03-26 |
| 1649739376 | Kimberly R Davis | Registered Nurse | 14912 W 150th Ter, Olathe, KS 66062-4610 | 2019-03-12 |
| 1740765726 | Kimberly Sue Davis | Case Manager/Care Coordinator | 3171 N Meridian St Fl 2, Indianapolis, IN 46208-4784 | 2018-09-26 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1215426010 | Kimberly Ann Davis | Nurse Practitioner | 4470 Regency Pl Ste 106, White Plains, MD 20695-3085 | 2018-05-07 |
| 1962924894 | Kimberly Ann Davis | Developmental Therapist | 2370 Nw 95th Ave., Coral Springs, FL 33065-4978 | 2017-07-12 |
| 1346693108 | Kimberly Davis | Licensed Practical Nurse | 50 Esther St, Pontiac, MI 48341-2176 | 2016-07-18 |
| Street Address |
11629 AVONDALE RD NE AVONDALE HOUSE |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508221300 | Stephen Onyambu | Licensed Practical Nurse | 11629 Avondale Rd Ne, Redmond, WA 98052-2201 | 2015-12-21 |
| 1902271794 | Beatrice Kariuki | Counselor | 11629 Avondale Rd Ne, Redmond, WA 98052-2201 | 2015-12-05 |
| 1811323785 | Amrita Supriya Masih | Counselor | 11629 Avondale Rd Ne, Avondale, Redmond, WA 98052-2201 | 2013-09-23 |
| 1831530690 | Marvin Malalad Acosta | Counselor | 11629 Avondale Rd Ne, Avondale, Redmond, WA 98052-2201 | 2013-07-09 |
| 1790126563 | Douglas Peter Hein | Counselor | 11629 Avondale Rd Ne, Sound Mental Health, Redmond, WA 98052-2201 | 2013-07-09 |
| 1578908927 | John K Kanai | Counselor | 11629 Avondale Rd Ne, Avondale, Redmond, WA 98052-2201 | 2013-04-29 |
| 1073864518 | Alicia Michelle Haley | Counselor | 11629 Avondale Rd Ne, Avondale, Redmond, WA 98052-2201 | 2012-09-24 |
| 1336419647 | Kristopher Bryce Landon | Counselor | 11629 Avondale Rd Ne, Sound Mental Health, Redmond, WA 98052-2201 | 2012-01-03 |
| 1093010845 | Stacey R Whitmore | Counselor | 11629 Avondale Rd Ne, Avondale House, Redmond, WA 98052-2201 | 2011-01-25 |
| 1356646269 | Nancy Ruth Gretzer-smith | Counselor | 11629 Avondale Rd Ne, Avondale House, Redmond, WA 98052-2201 | 2011-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811553514 | De Anna Mozo | Counselor | 7515 Falcon Crest Dr, Redmond, OR 97756-5014 | 2019-05-17 |
| 1962711150 | Sierra Short Groenewold | Counselor | 111 Nw Larch Ave, Redmond, OR 97756-1322 | 2010-10-05 |
| 1972778496 | Larissa Yoder | Counselor | 850 Sw 7th St, Redmond, OR 97756-2751 | 2008-04-25 |
| 1780737148 | Derek Jason Trlica | Counselor | 16150 Ne 85th St Ste 222, Family Services, Redmond, WA 98052-3546 | 2007-01-19 |
| 1023417276 | James O'farrell | Counselor | 406 W Antler Ave, Redmond, OR 97756-1812 | 2014-08-13 |
| 1376977207 | Samuel Harder | Counselor | 406 W Antler Ave, Redmond, OR 97756-1812 | 2013-08-28 |
| 1811129133 | Stephen Andrew Glenn | Counselor | 8705 166th Ave Ne, Stillwater House, Redmond, WA 98052-3749 | 2009-08-20 |
| 1780824516 | Cindy Denise Cherry | Counselor | 8705 166th Ave Ne, Sound Mental Health - Stillwater, Redmond, WA 98052-3749 | 2009-03-06 |
| 1811149545 | Raphael Ghislain Kameni | Counselor | 8705 166th Ave Ne, Stillwater, Redmond, WA 98052-3749 | 2008-10-13 |
| 1386820868 | Pricilla Pan Lui | Counselor | 11629 Avondale Rd Ne, Avondale House, Redmond, WA 98052-2201 | 2008-01-15 |
| Find all providers in REDMOND | ||||
Please comment or provide details below to improve the information on MRS. KIMBERLY 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.