JACQUELINE DENISE DAVIS (NPI# 1538641378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538641378 |
| Entity Type | Individual |
| Full Name | JACQUELINE DENISE DAVIS |
| Practice Address |
21250 Box Springs Rd Moreno Valley CA 92557-8705 |
| Mailing Address |
30338 Shoreline Dr Menifee CA 92584-8011 |
| Practice Telephone | 9516863706 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
APCC5275 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366098782 | Jacqueline Davis | Technician | 430 Brushfield Park Dr, Elgin, SC 29045-8397 | 2019-08-12 |
| 1801373550 | Jacqueline Davis | Counselor | 1380 Sw Swantown Ave Apt G, Oak Harbor, WA 98277-7523 | 2018-07-25 |
| 1285126557 | Jacqueline Davis | Counselor | 1309 Northup St Ste F, Reidsville, NC 27320-5611 | 2018-06-03 |
| 1891218376 | Jacqueline Denise Davis | Home Health Aide | 5340 M St Ne, Magnolia, OH 44643-8466 | 2017-07-17 |
| 1285169730 | Jacqueline Davis | Registered Nurse | Barbel Plaza South, First Floor, Ross Building, St. Thomas, VI 00802 | 2017-04-21 |
| 1972058444 | Jacqueline Davis | Nurse Practitioner | 925 Woodland Brk, Mcdonough, GA 30253-5578 | 2016-08-24 |
| 1730523341 | Jacqueline Davis | Licensed Practical Nurse | 2305 Staborn Dr, Beloit, WI 53511-2737 | 2013-04-25 |
| 1457623621 | Jacqueline A Davis | Counselor | 511 W Grove St Ste 204, Middleboro, MA 02346-1479 | 2012-02-03 |
| 1104137736 | Jacqueline Davis | Social Worker | 276 Cherokee Rd, Pontiac, MI 48341-2004 | 2010-06-29 |
| 1962726687 | Jacqueline Williams Davis | Pharmacist | 200 Georgia Ave, Valdosta, GA 31698 | 2010-03-24 |
| Street Address |
21250 BOX SPRINGS RD |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92557-8705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508050956 | Maria Aurora Murillo | Marriage & Family Therapist | 21250 Box Springs Rd, Suite 201, Moreno Valley, CA 92557-8705 | 2007-08-29 |
| 1629638705 | Karen Aguirre | Health Educator | 21250 Box Springs Rd, Moreno Valley, CA 92557-8705 | 2019-06-19 |
| 1336709286 | Javier Venegas Jr. | Health Educator | 21250 Box Springs Rd, Moreno Valley, CA 92557-8705 | 2019-06-13 |
| 1790244325 | Theresita Gonzalez | Counselor | 21250 Box Springs Rd, Moreno Valley, CA 92557-8705 | 2019-03-13 |
| 1295208528 | Guadalupe Rivas | Case Manager/Care Coordinator | 21250 Box Springs Rd, Moreno Valley, CA 92557-8705 | 2019-01-09 |
| 1184197527 | Leslie Guadalupe Hernandez | Case Manager/Care Coordinator | 21250 Box Springs Rd, Moreno Valley, CA 92557-8705 | 2019-01-08 |
| 1114315728 | Erica Armendariz | Marriage & Family Therapist | 21250 Box Springs Rd, Suite 106, Moreno Valley, CA 92557-8705 | 2015-01-05 |
| 1487054508 | Maria Keller | Psychologist | 21250 Box Springs Rd, Suite 201, Moreno Valley, CA 92557-8705 | 2014-08-26 |
| 1881036523 | Norda R Freeman | Marriage & Family Therapist | 21250 Box Springs Rd, Suite 106, Moreno Valley, CA 92557-8705 | 2013-07-23 |
| 1629415088 | Nancy Arleen Torres | Marriage & Family Therapist | 21250 Box Springs Rd, Moreno Valley, CA 92557-8705 | 2013-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314577 | Knight Rider Transport Inc | Private Vehicle | 21334 Ocasey Ct, Moreno Valley, CA 92557 | 2019-09-11 |
| 1679041495 | Shaping Pathways | Community/Behavioral Health | 11627 Mccully Court, Moreno Valley, CA 92557 | 2018-11-09 |
| 1710485644 | Torie Curiel | Behavior Technician | 12125 Day St E301, Moreno Valley, CA 92557 | 2018-01-25 |
| 1164949921 | Phyllis Yvonne Miller | Behavioral Analyst | 15450 Casa Grande St, Moreno Valley, CA 92557 | 2017-08-23 |
| 1255855912 | Natalie Maria-vega Cortinas | Specialist/Technologist | 12348 Kasota Ct., Moreno Valley, CA 92557 | 2017-08-03 |
| 1942720263 | Shenna Pontier Brown | Licensed Vocational Nurse | 12031 Poutous Ct, Moreno Valley, CA 92557 | 2017-06-27 |
| 1104209733 | Saira Medrano | Counselor | 11966 Villa Hermosa, Moreno Valley, CA 92557 | 2015-07-01 |
| 1295071405 | Maura Sauls | Counselor | 9963 Paseo Corralito, Moreno Valley, CA 92557 | 2012-12-14 |
| 1992919583 | Jody Willetts | Technician, Other | 11480 Tiffany Lane, Moreno Valley, CA 92557 | 2007-05-10 |
| 1457564841 | Derrick Trigenza Smith | Dental Hygienist | 23569 Sunnymead Ranch Parkway, Moreno Valley, CA 92557 | 2007-05-08 |
| Find all providers in zip 92557 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982781 | Doris J Dweh | Counselor | 12642 Memorial Way Apt 3100, Moreno Valley, CA 92553-7591 | 2020-11-05 |
| 1578017125 | Jeannie Ly | Counselor | 14687 Round Leaf Rd, Moreno Valley, CA 92555-4742 | 2016-08-12 |
| 1629693098 | Alexi Joseph Krygier | Counselor | 12818 Heacock St, Moreno Valley, CA 92553-3165 | 2020-06-11 |
| 1669004347 | Pascale A Claus | Counselor | 12968 Frederick St, Moreno Valley, CA 92553-5229 | 2020-02-10 |
| 1598250573 | Amanda Michelle Harmon | Counselor | 21250 Box Springs Rd Ste 106, Moreno Valley, CA 92557-8707 | 2018-06-22 |
| 1235658956 | Rosa Angela Lopez | Counselor | 13800 Heacock St Ste D111, Moreno Valley, CA 92553-3340 | 2017-09-13 |
| 1710333109 | Samantha Mortinsen | Counselor | 12968 Frederick St Ste A, Moreno Valley, CA 92553-5229 | 2016-05-04 |
| 1013388800 | Gary Lee Woods | Counselor | 12968 Frederick St, Moreno Valley, CA 92553-5229 | 2015-10-19 |
| 1275912909 | Ruby Gonzalez | Counselor | 12968 Frederick St, Moreno Valley, CA 92553-5229 | 2015-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225260 | Suzette Vega | Counselor | 10018 Downey Sanford Bridge Rd, Downey, CA 90240-3556 | 2020-11-04 |
| 1548860497 | Roger A Thrush | Counselor | 7777 Alvarado Rd Ste 257, La Mesa, CA 91942-8318 | 2020-10-29 |
| 1891395026 | Hayley Nasrallah | Counselor | 11712 Moorpark St Ste 101, Studio City, CA 91604-2155 | 2020-10-27 |
| 1831796978 | Geri Ann Delarosa | Counselor | 1521a Shattuck Ave, Berkeley, CA 94709-1516 | 2020-10-01 |
| 1659988822 | Katherine Beus Cusumano | Counselor | 11975 N Davis Rd, Lodi, CA 95242-9425 | 2020-09-30 |
| 1821605379 | Jacquelan Addesan King | Counselor | 124 5th St Apt A, Seal Beach, CA 90740-8000 | 2020-09-29 |
| 1225645807 | Jordan Martin | Counselor | 4065 Glencoe Ave, Marina Del Rey, CA 90292-4600 | 2020-09-28 |
| 1972110807 | Stefany Jasmin Zacarias | Counselor | 809 S Marengo Ave, Pasadena, CA 91106-3607 | 2020-09-24 |
| 1619582558 | Vanessa Diaz Venegas | Counselor | 8554 Clarinda Ave, Pico Rivera, CA 90660-5701 | 2020-09-08 |
| 1538773825 | Tibor Deme | Counselor | 27502 Wellington Ct, Valencia, CA 91354-1822 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | MORENO VALLEY |
| Zip Code | 92557 |
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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.