DR. KIM SUZANNE DAVIS (NPI# 1366697203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366697203 |
Entity Type | Individual |
Full Name | DR. KIM SUZANNE DAVIS |
Credential | PH.D. |
Practice Address |
3724 Jefferson St Ste 207 Austin TX 78731-6221 |
Mailing Address |
1500a Bridgeway Dr Austin TX 78704-4943 |
Practice Telephone | 5124972706 |
Mailing Telephone | 5124972706 |
Enumeration Date | 2008-11-19 |
Last Update Date | 2008-11-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
33941 | TX | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740537596 | Kim C Davis | Speech-Language Pathologist | 2300 W Alameda St Apt A5, Santa Fe, NM 87507-9655 | 2012-08-11 |
1386760387 | Kim Davis | Counselor | 16055 Ventura Blvd Ste 1033, Encino, CA 91436 | 2007-03-21 |
1487670329 | Kim T Davis | Midwife | 8540 S Sepulveda Blvd Ste 1002, Los Angeles, CA 90045-3808 | 2006-07-14 |
1649235318 | Kim Davis | Registered Nurse | 13031 N 65th Dr, Glendale, AZ 85304-1009 | 2006-04-18 |
1588624381 | Kim Genelle Davis | Nurse Practitioner | 118 W. 4th, Lebo, KS 66856 | 2006-03-24 |
1699226399 | Kim F Davis | Nurse Practitioner | 1080 River Oaks Dr, Suite B103, Flowood, MS 39232-9779 | 2016-10-18 |
1346654779 | Kim Marie Davis | Counselor | 60 South Last Chance Gulch, Helena, MT 59624-1153 | 2014-06-13 |
1306995634 | Kim W Davis | Social Worker | 110 Roach St, Georgetown, KY 40324-9393 | 2007-01-09 |
1124042908 | Kim Stokes Davis | Registered Nurse | 1544 Sheldon St, Saint Paul, MN 55108-2331 | 2006-07-26 |
1447297734 | Kim M Davis | Social Worker | 925 N 4th St, Wilmington, NC 28401-3450 | 2006-06-02 |
Street Address |
3724 JEFFERSON ST STE 207 |
City | AUSTIN |
State | TX |
Zip Code | 78731-6221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679117832 | Alison Joy Clifton | Social Worker | 3724 Jefferson St Ste 207, Austin, TX 78731-6221 | 2019-10-31 |
1508329046 | Sheerin Abbas Hall Lcsw Pllc | Social Worker | 3724 Jefferson St Ste 207, Austin, TX 78731-6221 | 2019-04-11 |
1033603477 | Julie Falchuk Lcsw, Lcdc, Pllc | Social Worker | 3724 Jefferson St Ste 207, Austin, TX 78731-6221 | 2018-06-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
Find all providers in zip 78731 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861010126 | Ankita Krishnan | Psychologist | 1601 Trinity St Bldg B, Austin, TX 78712-1765 | 2020-07-13 |
1982253555 | Sarah A Koenig | Psychologist | 8500 Shoal Creek Blvd Bldg 4, Austin, TX 78757-7591 | 2019-09-06 |
1447669874 | Nicholas Dale Taylor | Psychologist | 8500 Shoal Creek Blvd Ste 201, Austin, TX 78757 | 2014-08-11 |
1821252685 | Lynn Monnat | Psychologist | 1600 W 38th St Ste 212, Austin, TX 78731-6405 | 2008-07-10 |
1891823373 | Pamela Louise Retterath | Psychologist | 54135 244th St, Austin, MN 55912-5636 | 2007-02-28 |
1104836808 | James J Maynard | Psychologist | 500 Grace Lane, Austin, TX 78746 | 2006-08-08 |
1235744418 | Ana F. El Behadli Gonzalez | Psychologist | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-09-14 |
1891264396 | Laura Beth Frame | Psychologist | 6012 W William Cannon Dr Ste B103, Austin, TX 78749-1978 | 2018-11-14 |
1821591231 | Meredith Irene Brinster | Psychologist | 6012 W William Cannon Dr Ste B103, Austin, TX 78749-1978 | 2018-03-12 |
1174065247 | Alexandra Lamari-fisher | Psychologist | 1600 W 38th St Ste 212, Austin, TX 78731-6405 | 2016-11-07 |
Find all providers in AUSTIN |
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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.