LAKITA DAVIS (NPI# 1447870415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447870415 |
Entity Type | Individual |
Full Name | LAKITA DAVIS |
Practice Address |
1600 W 40th Ave Pine Bluff AR 71603-6301 |
Practice Telephone | 8705417100 |
Mailing Telephone | 8705417100 |
Enumeration Date | 2020-04-20 |
Last Update Date | 2020-04-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
123832 | AR | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982964680 | Lakita Nicole Davis | Specialist | 901 N G St, Oxnard, CA 93030-4229 | 2012-05-29 |
Street Address |
1600 W 40TH AVE |
City | PINE BLUFF |
State | AR |
Zip Code | 71603-6301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033172317 | Rebekah A Crowder | Dietitian, Registered | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2006-04-08 |
1164044509 | Shelly R Caine | Registered Nurse | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2020-05-08 |
1730739715 | Robert Benjamin Noble | Physician Assistant | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-09-12 |
1932757382 | Sarah Victoria Brown | Dietitian, Registered | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-08-29 |
1669020012 | Haley Nicole Shrell | Dietitian, Registered | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-08-29 |
1467000810 | Michael Carlton Turley | Dietitian, Registered | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-08-29 |
1639727084 | Laura Elizabeth Drinkwater | Dietitian, Registered | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-08-29 |
1316501901 | April Summer Mcghee | Nurse Practitioner | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-04-29 |
1609339365 | Andy Diaz | Physical Therapy Assistant | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-04-10 |
1205301587 | Jefferson Regional Anesthesia LLC | Anesthesiology | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2018-10-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
Find all providers in zip 71603 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811536931 | Tonya Aryet Mcbride | Nurse Practitioner | 509 Park Pl, Pine Bluff, AR 71601-6720 | 2020-01-06 |
1609340058 | Alicia Michelle Green-farris | Nurse Practitioner | 5510 S Olive St, Pine Bluff, AR 71603-7607 | 2019-01-18 |
1225503642 | Trisha E Blair | Nurse Practitioner | 3103 S Taft St, Pine Bluff, AR 71603-4427 | 2018-10-11 |
1144735424 | April Nicole Harris | Nurse Practitioner | 7500 Correction Cir, Pine Bluff, AR 71603-1496 | 2017-12-07 |
1790142974 | Ariel Lanice Jakes | Nurse Practitioner | 1609 W 40th Ave Ste 312, Pine Bluff, AR 71603-6366 | 2016-01-19 |
1134507650 | Estella Bland | Nurse Practitioner | 3803 Ridgway Rd, Pine Bluff, AR 71603-7452 | 2015-05-16 |
1033517768 | Lacy Rebaka Thomas | Nurse Practitioner | 6806 Mammoth Cv, Pine Bluff, AR 71603-4304 | 2014-12-11 |
1104245745 | Shanda Vinson | Nurse Practitioner | 1515 W 42nd Ave, Pine Bluff, AR 71603-7004 | 2014-04-10 |
1033405600 | Diana Gray Millenbaugh | Nurse Practitioner | 3801 Camden Rd Ste 12, Pine Bluff, AR 71603-4612 | 2011-06-22 |
1124258553 | Shellia Anne Kornegay | Nurse Practitioner | 1515 West 42nd Street, Pine Bluff, AR 71602 | 2009-07-20 |
Find all providers in PINE BLUFF |
City | PINE BLUFF |
Zip Code | 71603 |
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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.