WALTER ETCHELLES DAVIS (NPI# 1487757977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487757977 |
| Entity Type | Individual |
| Full Name | WALTER ETCHELLES DAVIS |
| Credential | M.D |
| Practice Address |
184 Virginia Street Boone NC 28607 |
| Mailing Address |
266 River Knoll Pl Jefferson NC 28640-9392 |
| Practice Telephone | 8282624332 |
| Practice Fax Number | 8282655514 |
| Mailing Telephone | 3369823776 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 15051 | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890211X | 05 | |
| NC | BLUE CROSS BLUE SHIELD NC | 0211X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588299283 | Walter Davis | Community/Behavioral Health | 1380 Arbor Ave Se Apt 508, Warren, OH 44484-4448 | 2020-03-03 |
| 1639441876 | Walter Ray Davis Jr. | Dentist | 1270 Mcconnell Dr Ste B, Decatur, GA 30033-3507 | 2012-02-03 |
| 1376554642 | Walter E Davis | Dentist | 415 S York St, Muskogee, OK 74403-5955 | 2006-08-11 |
| 1306334487 | Walter Roy Davis | Physical Therapist | 406 S Main St, Winnsboro, TX 75494-3226 | 2018-04-25 |
| 1417202144 | Walter Eton Davis Jr. | Case Manager/Care Coordinator | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2012-07-18 |
| 1841506276 | Walter E Davis | Counselor | 4728 Oxford Ave, Philadelphia, PA 19124-5835 | 2010-08-23 |
| 1083768998 | Walter Pitts Davis | Marriage & Family Therapist | 4630 50th St, Suite 507, Lubbock, TX 79414-3521 | 2007-01-22 |
| 1285703801 | Walter S Davis | Physical Medicine & Rehabilitation | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2006-11-07 |
| 1154331023 | Walter Sellers Davis | Dentist | 1610 Canyon Blvd, Boulder, CO 80302-5407 | 2006-08-09 |
| 1457300717 | Walter Davis | Psychologist | 13301 N Meridian Ave, Bldg 100, Oklahoma City, OK 73120-9369 | 2006-05-06 |
| Street Address |
184 VIRGINIA STREET |
| City | BOONE |
| State | NC |
| Zip Code | 28607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184261232 | Blaire E. Warren, Dds, Pllc | Clinic/Center | 142 Doctors Drive, Boone, NC 28607 | 2019-12-09 |
| 1073176871 | Whitney B Van Sant | Psychologist | 719-a Greenway Rd., Boone, NC 28607 | 2019-04-17 |
| 1710489273 | Appalachian Regional Medical Associates Inc | Internal Medicine | Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 | 2018-03-01 |
| 1891234019 | Laura Kacere | Counselor | 895 State Farm Rd Ste 507-5, Boone, NC 28607 | 2017-02-21 |
| 1902357320 | Innate Chiropractic - Pllc | Chiropractor | 838 State Farm Road, Ste 1, Boone, NC 28607 | 2016-10-20 |
| 1437519501 | David Hale Johnson | Nurse Practitioner | 169 Doctors Drive, Boone, NC 28607 | 2016-03-02 |
| 1639538895 | Lara Mele | Lactation Consultant, Non-RN | 180 Pine Hill Road, Boone, NC 28607 | 2016-02-16 |
| 1659749927 | Rachel Arledge | Counselor | 895 State Farm Rd. Bldg. 500, Ste. 505, Boone, NC 28607 | 2015-09-03 |
| 1346625431 | Kelly Walsh Whiteley | Dentist | 450 New Market Blvd Ste 2, Boone, NC 28607 | 2015-07-30 |
| 1184000234 | Ruby Amanda Stipe Blaylock | Physician Assistant | 2146 Blowing Rock Road - App Urgent Care, Boone, NC 28607 | 2015-07-30 |
| Find all providers in zip 28607 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033462148 | Southmountain Children and Family Services | Specialist | 8076 Hwy 105 South, Boone, NC 28607 | 2012-10-26 |
| 1497858765 | Herman A. Godwin Jr. | Specialist | 184 Virginia St., Boone, NC 28607 | 2006-09-05 |
| 1740208610 | Carmen Maria Albu | Specialist | 450 New Market Blvd, Suite 3, Boone, NC 28607-5494 | 2006-07-18 |
| 1225038060 | Donna Patricia Denier | Specialist | 175 Mary St, Boone, NC 28607-5025 | 2005-07-22 |
| 1437531001 | Elizabeth Louise Mays | Specialist | 838 State Farm Rd, Suite 1, Boone, NC 28607-5307 | 2015-06-19 |
| 1649662701 | Shirley Faw | Specialist | 232 Boone Heights Dr, Boone, NC 28607-4926 | 2015-02-26 |
| 1467672204 | Blue Ridge Nephrology & Hypertension Center Pa | Specialist | 400 Shadowline Dr, Suite 101, Boone, NC 28607-5089 | 2007-04-26 |
| 1841309762 | Robert Stanfill Ellison | Specialist | 614 Howard Street, Asu Student Health Service, Boone, NC 28607 | 2006-08-30 |
| 1962419341 | Robert Reed | Specialist | 400 Shadowline Dr, Suite 201a, Boone, NC 28607-5089 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989812 | Ryan Graham | Specialist | 405 Avett Dr, Durham, NC 27703-8291 | 2020-07-14 |
| 1184248197 | Tunishia Chanel Parks | Specialist | 106 Daniels Ave, Battleboro, NC 27809-7503 | 2020-06-05 |
| 1306460811 | Ashley Davis | Specialist | 765 Highland Oaks Dr Ste 100, Winston Salem, NC 27103-7100 | 2020-06-01 |
| 1083236996 | Latisha Isheema Buchanan | Specialist | 3215 Guess Rd Ste 101, Durham, NC 27705-2668 | 2020-05-13 |
| 1356962872 | Katherine Joy Griffin | Specialist | 1112 Bottle Brush Ln, Harrisburg, NC 28075-6716 | 2020-05-06 |
| 1174158315 | Shanese Spaulding | Specialist | 309 N Elm St, Lumberton, NC 28358-5649 | 2020-03-09 |
| 1417590290 | Sarah Lyn Granahan | Specialist | 107 Windel Dr Ste 205, Raleigh, NC 27609-4471 | 2019-10-23 |
| 1215580949 | Felisha Cheadle | Specialist | 240 Appalachian Dr, Raeford, NC 28376-6342 | 2019-07-22 |
| 1962062240 | Shenika Twanet Judd | Specialist | 724 N Reilly Rd Ste C, Fayetteville, NC 28303-6042 | 2019-06-18 |
| 1033676358 | Suzanne Lynn Washburn | Specialist | 307 Barcelona Drive 26e, Fayetteville, NC 28303-5768 | 2019-02-22 |
| 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.