MRS. ELIZABETH DAVIS (NPI# 1356887632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356887632 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH DAVIS |
| Practice Address |
804 N Trenton St Ruston LA 71270-3326 |
| Mailing Address |
Po Box 698 Ruston LA 71273-0698 |
| Practice Telephone | 3182540033 |
| Practice Fax Number | 3182540034 |
| Mailing Telephone | 3182540033 |
| Mailing Fax Number | 3182540034 |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224900000X | Mastectomy Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281966 | Elizabeth Davis | Registered Nurse | 900 Warren Ave Ste 101, East Providence, RI 02914-1430 | 2020-09-30 |
| 1811464688 | Elizabeth Page Fauber Davis | Registered Nurse | 35 S Inglewood Pl, Fishersville, VA 22939-2121 | 2018-10-30 |
| 1043704216 | Elizabeth Ann Davis | Nurse Practitioner | 5400 Fort St Ste 130, Trenton, MI 48183-4627 | 2018-06-20 |
| 1396248787 | Elizabeth Ilene Davis | Occupational Therapist | 1511 Nashville Hwy Ste A, Columbia, TN 38401-2070 | 2018-03-13 |
| 1154878585 | Elizabeth Davis | Registered Nurse | 2173 E Hamilton Ct, Republic, MO 65738-1523 | 2016-09-01 |
| 1609220441 | Elizabeth Davis | Physical Therapist | 3595 N Shiloh Dr, Suite 17, Fayetteville, AR 72703-5359 | 2016-04-18 |
| 1245696673 | Elizabeth Louise Davis | Behavioral Analyst | 622 Solano Ave, Sonoma, CA 95476-6134 | 2016-01-14 |
| 1356710982 | Elizabeth Spitz Davis | Physical Therapist | 2306 Front St, #27, Slidell, LA 70458-3662 | 2015-09-24 |
| 1467846394 | Elizabeth Ann Davis | Family Medicine | 1250 Ralston Ave Ste 104, Defiance, OH 43512-5308 | 2015-03-28 |
| 1972992592 | Elizabeth Davis | Social Worker | 951 Werner Ct, Ste. 395, Casper, WY 82601-1303 | 2015-01-20 |
| Street Address |
804 N TRENTON ST |
| City | RUSTON |
| State | LA |
| Zip Code | 71270-3326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
| 1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
| 1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
| Find all providers in zip 71270 | ||||
| Taxonomy Code | 224900000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Mastectomy Fitter |
| An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831733823 | Anointed Hands Trichology Center for Hair Loss LLC | Mastectomy Fitter | 15153 Highway 44 Ste B, Gonzales, LA 70737-6897 | 2019-11-01 |
| 1851945802 | Beautiful Body & More, LLC | Mastectomy Fitter | 1907 Benton Rd Ste 900, Bossier City, LA 71111-4194 | 2019-07-29 |
| 1609330794 | Melody Lynette Scott | Mastectomy Fitter | 223 Evangeline Walk, Bossier City, LA 71111-5475 | 2019-01-23 |
| 1073869764 | Andrea Kopfler | Mastectomy Fitter | 470 Palace Dr, Hammond, LA 70403-3271 | 2012-07-31 |
| 1982034591 | Ann Ward | Mastectomy Fitter | 4900 Cypress St, Suite 5, West Monroe, LA 71291-7670 | 2013-11-18 |
Please comment or provide details below to improve the information on MRS. ELIZABETH 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.