DEBRA MOLLIE DAVIS (NPI# 1376769638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376769638 |
Entity Type | Individual |
Full Name | DEBRA MOLLIE DAVIS |
Other Name | DEBRA MOLLIE WALTERS |
Credential | RN BSN |
Practice Address |
2079 Edgewater Dr Pekin IL 61554 |
Mailing Address |
587 E Court St Farmington IL 61531-1303 |
Practice Telephone | 3093822006 |
Practice Fax Number | 3093822007 |
Mailing Telephone | 3092452862 |
Enumeration Date | 2007-04-17 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
IL | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396346169 | Debra Davis | Massage Therapist | 702 Baldwin Dr Ste A, Albany, GA 31707-4027 | 2020-11-06 |
1740656578 | Debra Diane Davis | Non-emergency Medical Transport (VAN) | 11214 Indian Cyn, San Antonio, TX 78252-2783 | 2015-08-17 |
1588086334 | Debra Davis | Community Health Worker | 1901 Maple St, Saginaw, MI 48602-1099 | 2014-01-14 |
1487910808 | Debra R Davis | Nurse's Aide | 446 Lily St, Mansfield, OH 44903-1313 | 2012-04-10 |
1538431366 | Debra Ann Davis | Registered Nurse | 2143 Firestone St, Columbus, OH 43228-9508 | 2012-02-09 |
1639446982 | Debra Lyn Davis | Physical Therapy Assistant | 2322 Henry St, North Bellmore, NY 11710-2524 | 2011-11-30 |
1457636680 | Debra Davis | Counselor | 1606 E Downing, Tahlequah, OK 74464 | 2011-10-19 |
1386934206 | Debra A Davis | Case Manager/Care Coordinator | 6701 Hwy 67 S. Bldg 4, Benton, AR 72015 | 2011-04-12 |
1477842607 | Debra Davis | Speech-Language Pathologist | 600 Eagle Mountain Blvd, Batesville, AR 72501-4210 | 2011-03-28 |
1205161767 | Debra Davis | Pharmacist | 7828 Pineville Matthews Rd, Charlotte, NC 28226-3910 | 2009-10-15 |
Street Address |
2079 EDGEWATER DR |
City | PEKIN |
State | IL |
Zip Code | 61554 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558838409 | Darlene Kay Harrison | Registered Nurse | 2079 Edgewater Dr, Pekin, IL 61554-7833 | 2018-10-30 |
1598244915 | Tina I Crawford | Registered Nurse | 2079 Edgewater Dr, Pekin, IL 61554-7833 | 2018-08-07 |
1346524899 | Bridgeway Inc | Community/Behavioral Health | 2079 Edgewater Dr, Pekin, IL 61554 | 2011-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194279000 | Shauna L Bivens | Nurse Practitioner | 3400 Griffin Ave., Pekin, IL 61554 | 2016-08-09 |
1720349780 | Neal Family Chiropractic PC | Chiropractor | 2978 Court St., Pekin, IL 61554 | 2012-06-06 |
1366750671 | Dennis Kammerer Stoller | Dentist | 1608 Broadway, Pekin, IL 61554 | 2010-09-21 |
1013186683 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1421 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
1568631133 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1425 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
1689856312 | Pekin Supportive Living Limited Patnership | Assisted Living Facility | 1320 Executive Court, Pekin, IL 61554 | 2007-12-05 |
1205034824 | Winfield Curtis Morgan | Dentist | 1503 Valle Vista, Pekin, IL 61554 | 2007-07-05 |
1649308230 | Tazewell County Health Department -dental Health Center | Public Health or Welfare | 135 Radio City Drive, Suite A & B, North Pekin, IL 61554 | 2007-03-02 |
1528118239 | Jerry Lee Marshall | Dentist | 135a-b Radio City Drive, North Pekin, IL 61554 | 2007-01-12 |
1144380882 | Kevin Conroy | Dentist | 13 Oh Ave, Pekin, IL 61554 | 2006-12-11 |
Find all providers in zip 61554 |
Taxonomy Code | 163WC0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861011645 | Cheryl D Jones | Registered Nurse | 375th Mdg, 310 W. Losey Street, Scott Afb, IL 62225 | 2020-04-13 |
1447898721 | Sophia Bracey | Registered Nurse | 443 Fairway Ct, University Park, IL 60484 | 2019-12-17 |
1336704089 | Nkechinyere Uzoma | Registered Nurse | 3709 Culloden St, Flossmoor, IL 60422-4318 | 2019-05-08 |
1235601410 | Hannah Dawn Saguin Cimafranca | Registered Nurse | 1900 W Polk St Unit 154, Chicago, IL 60612-3723 | 2018-12-28 |
1609347269 | Deborah De La Haye | Registered Nurse | 3523 W 76th St, Chicago, IL 60652-1405 | 2018-12-07 |
1336619188 | Sutara M Giles | Registered Nurse | 13933 Laramie Ave Apt 205, Crestwood, IL 60418-1654 | 2018-12-04 |
1487124335 | Albeza Veronica Ruiz | Registered Nurse | 2331 199th St, Lynwood, IL 60411-9665 | 2018-12-03 |
1407322837 | Lawanda Burnett-berry | Registered Nurse | 1801 W Polk St, Suite 154, Chicago, IL 60612 | 2018-10-24 |
1891262226 | Cyndril Bendijo Carreon-palencia | Registered Nurse | 1900 W Polk St Rm 154, Chicago, IL 60612-3723 | 2018-10-24 |
1407322316 | Charity Nwaru | Registered Nurse | 1313 Meyer Ct, Homewood, IL 60430-4545 | 2018-10-17 |
Find all providers with the same taxonomy |
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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.