CRYSTAL DAWN DAVISON (NPI# 1467728089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467728089 |
| Entity Type | Individual |
| Full Name | CRYSTAL DAWN DAVISON |
| Credential | APRN |
| Practice Address |
290 Ne Tudor Rd Lees Summit MO 64086-5696 |
| Practice Telephone | 8165245522 |
| Practice Fax Number | 8165244798 |
| Mailing Telephone | 8165245522 |
| Mailing Fax Number | 8165244798 |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2018-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-77807 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2012006269 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
290 NE TUDOR RD |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-5696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336110659 | Sidney Scott Devins | Internal Medicine | 290 Ne Tudor Rd, Metropolitan Pulmonary and Hospital M, Lees Summit, MO 64086-5696 | 2006-01-27 |
| 1245789718 | Rachel A Walter | Nurse Practitioner | 290 Ne Tudor Rd, Lees Summit, MO 64086 | 2016-09-26 |
| 1710117619 | Heather Cristin Toney | Hospitalist | 290 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2009-07-26 |
| 1548403249 | Rebecca Ann Ferguson | Internal Medicine | 290 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2009-04-09 |
| 1992979785 | Kyle Wayne Coffman | Emergency Medicine | 290 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2008-04-14 |
| 1952412231 | Metropolitan Pulmonary and Sleep Medicine PC | Hospitalist | 290 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2006-08-31 |
| 1407865876 | Amelia Fitzpatrick | Internal Medicine | 290 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2006-08-05 |
| 1023089349 | Quintin Lee Cokingtin | Internal Medicine | 290 Ne Tudor Rd, Metropolitan Pumonary and Hospital Medicine, Lees Summit, MO 64086-5696 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1659979169 | Samantha Rose Morris | Nurse Practitioner | 1980 Se Blue Pkwy Ste 2320, Lees Summit, MO 64063-1102 | 2020-10-16 |
| 1578173712 | Valerie De Jong | Nurse Practitioner | 1611 Se Boone Trl, Lees Summit, MO 64063-6023 | 2020-08-03 |
| 1255958369 | Amara Sluder | Nurse Practitioner | 1029 Ne Bluff Cir, Lees Summit, MO 64086-4955 | 2020-07-06 |
| 1457971905 | Rujira Renick | Nurse Practitioner | 100 Ne Missouri Rd Ste 202, Lees Summit, MO 64086-4716 | 2020-04-24 |
| 1417501255 | Nicole Hamilton | Nurse Practitioner | 303 Nw Central St, Lees Summit, MO 64063-1920 | 2019-07-30 |
| 1932683836 | Rene Russell | Nurse Practitioner | 2416 Sw Wintergreen Ct, Lees Summit, MO 64081 | 2018-09-18 |
| 1104327576 | Molly Moore Mcgraw Davidson | Nurse Practitioner | 2000 Se Blue Pkwy Ste 270a, Lees Summit, MO 64063 | 2018-02-21 |
| 1225537665 | Crystal Sheets | Nurse Practitioner | 1221 Se 12th St, Lees Summit, MO 64081-2905 | 2018-02-12 |
| 1295257277 | Sara Barnett | Nurse Practitioner | 100 Ne Saint Lukes Blvd Ste 500, Lees Summit, MO 64086-6000 | 2017-07-12 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64086 |
Please comment or provide details below to improve the information on CRYSTAL DAWN DAVISON.
| 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.