SHEILA SANDUBRAE DAVIS (NPI# 1538184742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538184742 |
| Entity Type | Individual |
| Full Name | SHEILA SANDUBRAE DAVIS |
| Credential | A.P.N., L.P.C. |
| Practice Address |
830 Upper Cache Creek Dr. Jackson WY 83001-1281 |
| Mailing Address |
Po Box 1281 Jackson WY 83001-1281 |
| Practice Telephone | 3077335227 |
| Mailing Telephone | 3077335227 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
259 | WY | Behavioral Health & Social Service Providers |
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
101062 | MI | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
8459 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 110958800 | 05 | |
| WY | BC/BS | 303551 | 01 |
| WY | MHN | 169719 | 01 |
| WY | MAGELLAN | 308004 | 01 |
| WY | MIS | 000156000 | 01 |
| ID | 8056871000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569379 | Sheila Denise Davis | Occupational Therapy Assistant | 2921 W 61st Pl Apt 2g, Merrillville, IN 46410-2260 | 2020-05-13 |
| 1013384577 | Sheila Ann Davis | Nurse Practitioner | 6644 Gary Road, Suite D Box 720448, Byram, MS 39272-9600 | 2015-08-31 |
| 1154604981 | Sheila Davis | Social Worker | 138 W 25th St # 802-b7, New York, NY 10001-7405 | 2011-09-28 |
| 1780993188 | Sheila Darnell Davis | Social Worker | 2424 Midland Rd, Midland, NC 28107-8700 | 2010-10-02 |
| 1598966699 | Sheila Anita Davis | Counselor | 1950 Lee Road, Suite 114, Winter Park, FL 32789-7210 | 2007-05-29 |
| 1225696750 | Sheila Jean Davis | Counselor | 455 K St, Crescent City, CA 95531-4107 | 2019-05-30 |
| 1497226195 | Sheila Dawn Davis | Rehabilitation Counselor | 12 Magnolia St, Easton, MD 21601-3657 | 2018-12-07 |
| 1780190199 | Sheila Davis | Behavior Technician | 3494 Liberty Rd S, Salem, OR 97302-4607 | 2017-12-20 |
| 1740799113 | Sheila Shelly Marie Davis | Physical Therapy Assistant | 7540 N 19th Ave Ste 200, Phoenix, AZ 85021-7967 | 2017-09-28 |
| 1639690795 | Sheila Davis | Occupational Therapy Assistant | 1540 E Arlington Blvd, Greenville, NC 27858-5870 | 2017-06-29 |
| Street Address |
830 UPPER CACHE CREEK DR. |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-1281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511981 | Nurture Mental Health & Wellness Center LLC | Nurse Practitioner | 125 S King St Ste 2a, Jackson, WY 83001-8124 | 2020-09-07 |
| 1811511819 | Aretha M. Northington | Nurse Practitioner | 1430 Wingfield Dr., Jackson, MS 39204-4448 | 2020-06-04 |
| 1760921225 | A Beautiful Mind LLC | Nurse Practitioner | 1856 Smallwood St, Jackson, MS 39212-2521 | 2017-02-16 |
| 1013302082 | Tiffany Griffin | Nurse Practitioner | 3450 Highway 80 West, Jackson, MS 39209 | 2015-04-06 |
| 1114311446 | Lakeisha Crye Green | Nurse Practitioner | 5568 Tiki Ln, Jackson, MS 39212-3657 | 2015-03-25 |
| 1205176716 | Robert White LLC | Nurse Practitioner | 2290 West County Line Rd, Suite 105, Jackson, NEW JERSEY 08527 | 2013-02-20 |
| 1699046235 | Matrix Wellness Solutions | Nurse Practitioner | 384 Carriage House Dr Ste D, Suite D, Jackson, TN 38305-2268 | 2012-01-12 |
| 1063721314 | Anna M Cook | Nurse Practitioner | 163 W Univeristy Parkway, Jackson, TN 38305 | 2010-10-05 |
| 1720245848 | Carol Jeanne Dove | Nurse Practitioner | 4044 Briggs Ct, Jackson, MI 49201-9033 | 2008-05-16 |
| 1730203415 | Sherry M Blackford | Nurse Practitioner | 238 Summar Drive, Jackson, TN 38301 | 2007-03-19 |
| Find all providers in JACKSON | ||||
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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.