KIRSTEN A DAVIS (NPI# 1376852053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376852053 |
| Entity Type | Individual |
| Full Name | KIRSTEN A DAVIS |
| Credential | LMP |
| Practice Address |
1995 E 17th St Suite 2 Idaho Falls ID 83404-6493 |
| Practice Telephone | 2085292352 |
| Mailing Telephone | 2085292352 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2012-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 225700000X | Massage Therapist | 602981393 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727807 | Kirsten Keiko Penland Davis | Registered Nurse | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 | 2020-07-08 |
| 1174083919 | Kirsten Lyn Davis | Nurse Practitioner | 4875 Higbee Ave Nw, Canton, OH 44718-2566 | 2019-03-20 |
| 1730659467 | Kirsten Davis | Behavior Technician | 1111 Baker St, Costa Mesa, CA 92626-4138 | 2018-11-26 |
| 1912422361 | Kirsten Davis | Case Manager/Care Coordinator | 1701 Donaghey Ave, Conway, AR 72032 | 2017-08-07 |
| 1306180575 | Kirsten Davis | Counselor | 2025 Ebenezer Rd, Rock Hill, SC 29732-1062 | 2012-11-12 |
| Street Address |
1995 E 17TH ST SUITE 2 |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-6493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738797 | Eric A Wingerson | Internal Medicine | 1995 E 17th St, St. #4, Idaho Falls, ID 83404-6493 | 2005-05-27 |
| 1609492347 | Jason T Rinker | Physician Assistant | 1995 E 17th St, Idaho Falls, ID 83404-6493 | 2020-06-18 |
| 1942836911 | Amerihealth Inc | Psychologist | 1995 E 17th St, Idaho Falls, ID 83404-6493 | 2020-03-20 |
| 1730652280 | Brandy Lee Larson | Nurse Practitioner | 1995 E 17th St, Idaho Falls, ID 83404-6493 | 2019-01-08 |
| 1104320324 | Daniel Joseph Barney | Nurse Practitioner | 1995 E 17th St, Idaho Falls, ID 83404-6493 | 2018-03-21 |
| 1962919662 | Derek Richard Whitmill | Nurse Practitioner | 1995 E 17th St, Idaho Falls, ID 83404-6493 | 2018-01-03 |
| 1134647019 | Randall James Law | Physician Assistant | 1995 E 17th St, Idaho Falls, ID 83404-6493 | 2017-08-31 |
| 1417498890 | Kara Dee Boll | Nurse Practitioner | 1995 E 17th St, Idaho Falls, ID 83404-6493 | 2017-03-17 |
| 1932526373 | Mountain Falls Medical LLC | Nurse Practitioner | 1995 E 17th St, Idaho Falls, ID 83404-6493 | 2014-03-24 |
| 1205179751 | Jacob Wayne Moss | General Practice | 1995 E 17th St, Idaho Falls, ID 83404-6493 | 2013-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528604188 | Leslie Hendrian | Massage Therapist | 86 N Kaylee Circle, Idaho Falls, ID 83402 | 2019-11-19 |
| 1982187944 | Adam Nelson | Massage Therapist | 2450 E 25th St Ste C, Idaho Falls, ID 83404-7577 | 2018-09-14 |
| 1992294565 | Tyler James Pincock | Massage Therapist | 1110 S Boulevard, Idaho Falls, ID 83402-4033 | 2018-05-09 |
| 1245505304 | Rhonda Evelyn Mcconomy | Massage Therapist | 482 Constitution Way, B4, Idaho Falls, ID 83402-3565 | 2012-03-21 |
| 1982173191 | Laura Lindsay | Massage Therapist | 2450 E 25th St Ste C, Idaho Falls, ID 83404-7577 | 2018-11-16 |
| 1538664651 | M'kenzi Ann Jenkins | Massage Therapist | 3345 Potomac Way, Idaho Falls, ID 83404-4978 | 2018-03-29 |
| 1871092874 | Selena Nickel | Massage Therapist | 2450 E 25th St, Idaho Falls, ID 83404-7577 | 2018-02-05 |
| 1023569217 | Leslie Markiel | Massage Therapist | 2450 E 25th St, Ste C, Idaho Falls, ID 83404-7577 | 2016-10-22 |
| 1477901056 | Kara Merkley | Massage Therapist | 2450 E 25th St, Ste C, Idaho Falls, ID 83404-7577 | 2016-05-24 |
| 1841655131 | Del Holdings, LLC | Massage Therapist | 2450 E 25th St, C, Idaho Falls, ID 83404-7577 | 2015-12-31 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on KIRSTEN A 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.