LINDA DAVIS (NPI# 1497719371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497719371 |
| Entity Type | Individual |
| Full Name | LINDA DAVIS |
| Credential | PA |
| Practice Address |
903 Summit Ave Fort Worth TX 76102-3421 |
| Practice Telephone | 8178775353 |
| Practice Fax Number | 8178775357 |
| Mailing Telephone | 8178775353 |
| Mailing Fax Number | 8178775357 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2012-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA02755 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA02755 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 196496702 | 05 | |
| TX | 196496703 | 05 | |
| TX | 196496704 | 05 | |
| TX | 196496701 | 05 | |
| TX | RAILROAD MEDICARE | P00137420 | 01 |
| TX | BCBS | 8N2936 | 01 |
| TX | 196496705 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477113207 | Linda C Davis | Optometrist | 4840 E Bonanza Rd Ste 6, Las Vegas, NV 89110-3453 | 2019-06-14 |
| 1659882942 | Linda K Davis | Registered Nurse | 2323 N Lake Dr Rm W2039, Milwaukee, WI 53211-4508 | 2017-10-13 |
| 1932565066 | Linda Davis | Non-emergency Medical Transport (VAN) | 2501 Park Place Dr, Gretna, LA 70056-3025 | 2016-01-05 |
| 1154762391 | Linda Jane Davis | Counselor | 1107 Brewton Lovett Rd, Dublin, GA 31027-3299 | 2013-07-16 |
| 1255775870 | Linda Kay Davis | Nurse Practitioner | Fot 130 1720 2nd Ave S, Birmingham, AL 35294-3410 | 2013-04-25 |
| 1336411834 | Linda Duane Davis | Counselor | 815 Berwick Ct, Lake Oswego, OR 97034-2843 | 2012-01-31 |
| 1508153917 | Linda J. Davis | Case Manager/Care Coordinator | 11 Lucas Ln, Fort Worth, TX 76134-3408 | 2011-07-06 |
| 1164747358 | Linda K. Davis | Developmental Therapist | 140 Franklin Pl E, Apt206, Lake Forest, IL 60045-1273 | 2010-03-31 |
| 1356577431 | Linda Sue Davis | Clinical Nurse Specialist | 330 Pico Dr, Pulaski, VA 24301-4727 | 2009-06-03 |
| 1376778571 | Linda L Davis | Social Worker | 159 N Coit St, Florence, SC 29501-3435 | 2009-05-18 |
| Street Address |
903 SUMMIT AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76102-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276965 | Jason Albert Kouri | Family Medicine | 903 Summit Ave, Fort Worth, TX 76102-3421 | 2005-06-22 |
| 1255683439 | First Choice Medical Solutions Pllc | Chiropractor | 903 Summit Ave, Fort Worth, TX 76102-3421 | 2012-10-11 |
| 1700164662 | 1st Choice Medical Group Pllc | Family Medicine | 903 Summit Ave, Fort Worth, TX 76102-3421 | 2011-07-26 |
| 1902115801 | Kyle Ray Swanson | Chiropractor | 903 Summit Ave, Fort Worth, TX 76102-3421 | 2010-09-27 |
| 1427388008 | Mia Kay Meyer | Chiropractor | 903 Summit Ave, Fort Worth, TX 76102-3421 | 2010-01-05 |
| 1003145269 | Jason Meyer | Chiropractor | 903 Summit Ave, Fort Worth, TX 76102-3421 | 2009-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285113746 | Deirdre P Browne | Counselor | 1500 E El Paso, Fort Worth, TX 76102 | 2018-08-07 |
| 1740784206 | Cvs Pharmacy Inc | Pharmacy | 515 Houston St, Fort Worth, TX 76102 | 2018-03-20 |
| 1316448061 | Diondra Deshawn Narcisse | Licensed Vocational Nurse | 1314 Lake Street, Fort Worth, TX 76102 | 2018-02-27 |
| 1649779943 | Carmela A Solis | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3309, Fort Worth, TX 76102 | 2018-02-02 |
| 1104324516 | Vicki Webb-baker | Health Educator | 512 Lamar Street, Suite 400, Fort Worth, TX 76102 | 2018-01-31 |
| 1235647678 | Brianna Marie Keister | Occupational Therapist | 201 W. Lancaster Ave, 417, Fort Worth, TX 76102 | 2018-01-19 |
| 1437507910 | Medical Hearing Services, LLC | Hearing Aid Equipment | 1201 Summit Avenue, Fort Worth, TX 76102 | 2016-05-25 |
| 1891171476 | Karis Starke | Physical Therapy Assistant | 2500 West Freeway (i-30), 100, Fort Worth, TX 76102 | 2015-08-05 |
| 1265839344 | Fm Katy Dental and Orthodontics, Pllc | Dentist | 100 E 15th Ste 520, Fort Worth, TX 76102 | 2014-12-04 |
| 1093134512 | Superior Evaluation Services | General Practice | 420 Throckmorton Suite 200, Ft. Worth, TX 76102 | 2014-04-11 |
| Find all providers in zip 76102 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596927 | Emily Lau | Physician Assistant | 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 | 2020-10-20 |
| 1629681952 | Anum Bashwani | Physician Assistant | 5601 Bridge St Ste 450, Fort Worth, TX 76112-2305 | 2020-08-26 |
| 1780200881 | Emily Brown Holloway | Physician Assistant | 1904 Turner Ridge Dr Apt 5202, Fort Worth, TX 76110-2499 | 2020-06-24 |
| 1679196570 | Maria Cristela Mosso | Physician Assistant | 4521 S Hulen St Ste 118, Fort Worth, TX 76109-4954 | 2020-05-26 |
| 1679195978 | Jacob Torre | Physician Assistant | 1701 River Run Ste 1118, Fort Worth, TX 76107-6557 | 2020-05-11 |
| 1871122382 | Kenaud Jeune | Physician Assistant | 5817 Fairglen Ave Apt 312, Fort Worth, TX 76137-6810 | 2020-04-06 |
| 1922635648 | Lauren Elizabeth Studey | Physician Assistant | 3470 Sagecrest Ter, Fort Worth, TX 76109-2555 | 2020-03-24 |
| 1033743612 | James Bregg Reedy | Physician Assistant | 200 W Magnolia Ave Ste 201, Fort Worth, TX 76104-7657 | 2020-02-24 |
| 1992335194 | Alexandria Christine Rios | Physician Assistant | 5904 Rockhill Rd, Fort Worth, TX 76112-3047 | 2020-01-16 |
| 1982253605 | Kelly Ann Klein | Physician Assistant | 6708 River Bend Rd, Fort Worth, TX 76132-1108 | 2019-09-05 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76102 |
Please comment or provide details below to improve the information on LINDA 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.