BREANNA JO DAVIS (NPI# 1528681939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528681939 |
Entity Type | Individual |
Full Name | BREANNA JO DAVIS |
Practice Address |
5115 Hampton Boulevard Norfolk VA 23529-0001 |
Mailing Address |
336 Cann Rd Anderson SC 29625-6505 |
Practice Telephone | 7576834960 |
Mailing Telephone | 8649406533 |
Enumeration Date | 2020-05-20 |
Last Update Date | 2020-05-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801352356 | Breanna Davis | Case Manager/Care Coordinator | 1310 S Union St Ste 3, Opelousas, LA 70570-5612 | 2019-02-20 |
1548748460 | Breanna Davis | Counselor | 3939 Jackman Rd, Toledo, OH 43612-1146 | 2018-08-02 |
1891300307 | Breanna Davis | Behavior Technician | 823 Dunlawton Ave, Port Orange, FL 32127-4220 | 2020-09-11 |
1649828286 | Breanna Davis | Advanced Practice Midwife | 24411 Health Center Dr Ste 200, Laguna Hills, CA 92653-3633 | 2019-08-27 |
1255801320 | Breanna Davis | Behavior Technician | 7905 Schatz Pointe Dr Ste 104, Dayton, OH 45459-3856 | 2018-11-30 |
1164960241 | Breanna Davis | Case Manager/Care Coordinator | 344 E 100 S, Ste. 301, Salt Lake City, UT 84111-1700 | 2017-02-08 |
Street Address |
5115 HAMPTON BOULEVARD |
City | NORFOLK |
State | VA |
Zip Code | 23529-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912564311 | Briana M Lawry | Specialist/Technologist | 4608 Hampton Blvd, Norfolk, VA 23529-0001 | 2019-05-22 |
1679054035 | Charles Marshall Mozena | Specialist/Technologist | 4700 Powhatan Avenue, Norfolk, VA 23529-0001 | 2018-08-23 |
1669960258 | Dana Slepsky Robertson | Speech-Language Pathologist | 1015 W 47th Street, Norfolk, VA 23529-0001 | 2018-04-29 |
1326548140 | Trevor Thompson | Specialist/Technologist | Old Dominion University 5115 Hampton Blvd, Norfolk, VA 23529-0001 | 2018-02-19 |
1104335629 | Michael Andrew Burkeitt | Specialist/Technologist | 4500 Parker Avenue, Norfolk, VA 23529-0001 | 2017-09-27 |
1437682705 | Robert Medina | Specialist/Technologist | 4500 Parker Ave, Norfolk, VA 23529-0001 | 2017-04-04 |
1053767426 | Michael Olson | Specialist/Technologist | Jim Jarrett Athletic Admin Building, Norfolk, VA 23529-0001 | 2016-05-04 |
1144639568 | Heather Mckay Byrne | Physical Therapist | Odu Monarch Physical Therapy, 1015 West 47th Street, Norfolk, VA 23529-0001 | 2014-08-11 |
1770991051 | Cori Winifred Sinnott | Specialist/Technologist | 5115 Hampton Blvd, Norfolk, VA 23529-0001 | 2014-07-30 |
1982010526 | Nathan Miker | Specialist/Technologist | Lr Hill Sports Complex, 4251 Powhatan Ave, Norfolk, VA 23529-0001 | 2014-07-03 |
Find all providers in zip 23529 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407457195 | John Cayo | Student in an Organized Health Care Education/Training Program | 715 Stockley Gdns Apt 1, Norfolk, VA 23507-2025 | 2020-11-08 |
1710587712 | Shiela Kaye Chua Crisostomo | Student in an Organized Health Care Education/Training Program | 3916 Gosnold Ave, Norfolk, VA 23508-2916 | 2020-10-28 |
1417563867 | Kirstin C Barkley | Student in an Organized Health Care Education/Training Program | 4037 State Highway 310, Norfolk, NY 13667-3177 | 2020-09-21 |
1902429152 | Madison Mcnicholas | Student in an Organized Health Care Education/Training Program | 5115 Hamptom Blvd, Norfolk, VA 23508 | 2020-05-22 |
1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
1669092060 | Laura Shaw | Student in an Organized Health Care Education/Training Program | 696 Mowbray Arch Apt 720, Norfolk, VA 23507-1842 | 2020-04-26 |
1952920282 | Graham C Busse | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch # 106, Norfolk, VA 23507-2219 | 2020-04-16 |
1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
1639707045 | Alisabeth Anne Furnace | Student in an Organized Health Care Education/Training Program | 249 Brouse Rd, Norfolk, NY 13667-4203 | 2020-03-31 |
1891323119 | Thomas Roh | Student in an Organized Health Care Education/Training Program | 220 Birmingham Ave Apt 144, Norfolk, VA 23505-5222 | 2020-03-31 |
Find all providers in NORFOLK |
Please comment or provide details below to improve the information on BREANNA JO 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.