MISS JESSICA TAMAR DAVIS (NPI# 1528215076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528215076 |
| Entity Type | Individual |
| Full Name | MISS JESSICA TAMAR DAVIS |
| Credential | FNP |
| Practice Address |
4715 Arapahoe Avenue Boulder CO 80303 |
| Mailing Address |
7951 E. Maplewood Avenue Suite 300 Greenwood Village CO 80111 |
| Practice Telephone | 3033852000 |
| Practice Fax Number | 3034441839 |
| Mailing Telephone | 3039307800 |
| Mailing Fax Number | 3039307860 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2015-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 10091 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 12652 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 87053314 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780216861 | Jessica Nichole Davis | Physical Therapist | 1413 W Broadway Ave, Maryville, TN 37801-3121 | 2020-02-06 |
| 1629534367 | Jessica Davis | Homemaker | 307 N Georgia Ave # 307, Cocoa, FL 32922-6222 | 2019-02-19 |
| 1265906549 | Jessica Alexis Davis | Behavioral Analyst | 210 Talsrock Way Ste 3, Cary, NC 27519-1906 | 2019-01-19 |
| 1346758430 | Jessica Nicole Davis | Student in an Organized Health Care Education/Training Program | 2300 8th Ave S Apt 448, Nashville, TN 37204-2475 | 2018-01-11 |
| 1346768272 | Jessica Amiee Davis | Doula | 5805 E 40th Ter, Kansas City, MO 64129-1713 | 2017-08-30 |
| 1154845782 | Jessica Lynn Davis | Social Worker | 530 Beacon Pkwy W Ste 401, Birmingham, AL 35209-3196 | 2017-07-26 |
| 1699213769 | Jessica Davis | Nutritionist | 9404 Mayflower Ct, Laurel, MD 20723-1747 | 2017-02-08 |
| 1922543891 | Jessica Davis | Licensed Practical Nurse | 1111 Oakhill St, Seffner, FL 33584-4513 | 2016-12-30 |
| 1427506054 | Jessica Davis | Nurse Practitioner | 1824 Dimond Dr, Anchorage, AK 99507-1308 | 2016-09-12 |
| 1033584636 | Jessica Renee Davis | Social Worker | 314 N Front St, Apt A Second Floor, Wormleysburg, PA 17043-1112 | 2015-12-08 |
| Street Address |
4715 ARAPAHOE AVENUE |
| City | BOULDER |
| State | CO |
| Zip Code | 80303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114243979 | Holly Lynn Saracco | Physician Assistant | 4715 Arapahoe Avenue, Boulder, CO 80303 | 2010-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
| 1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
| 1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
| 1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
| 1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
| 1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
| 1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
| 1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
| 1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
| 1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
| Find all providers in zip 80303 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093347247 | Ashley Fanning | Nurse Practitioner | 2750 Broadway St # 100, Boulder, CO 80304-3586 | 2020-02-06 |
| 1659853174 | Radiant Health LLC | Nurse Practitioner | 350 Arapahoe Ave Apt 18, Boulder, CO 80302-5843 | 2018-08-31 |
| 1649658329 | Jeff Ritchie | Nurse Practitioner | 70 S Boulder Cir Apt 7012, Boulder, CO 80303-4265 | 2015-05-13 |
| 1831459692 | Joshua G Tueting | Nurse Practitioner | 1900 Wardenburg, Boulder, CO 80309-1911 | 2012-05-25 |
| 1518148246 | Tahirah Asimali Asimali | Nurse Practitioner | 3949 19th St, Boulder, CO 80304-1353 | 2007-11-22 |
| 1154525632 | Kathleen A Harding | Nurse Practitioner | 2885 Aurora Ave Ste 15, Boulder, CO 80303-2251 | 2007-06-11 |
| 1407059355 | Jenny Leong Abernathy | Nurse Practitioner | 6685 Gunpark Dr Ste 102, Boulder, CO 80301-3343 | 2007-06-07 |
| 1801822358 | Annette Ellen Percefull | Nurse Practitioner | 2434 Arapahoe Ave, Boulder, CO 80302-7532 | 2006-06-25 |
| 1346223898 | Nancy K Engellenner | Nurse Practitioner | 4745 Arapahoe Ave Ste 320, Boulder, CO 80303-1082 | 2005-11-29 |
| 1013914738 | Linda Lea Johnson | Nurse Practitioner | 2855 Valmont Rd, Boulder, CO 80301-1309 | 2005-07-07 |
| Find all providers in BOULDER | ||||
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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.