TINA MARIE DAVIS (NPI# 1568962611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568962611 |
| Entity Type | Individual |
| Full Name | TINA MARIE DAVIS |
| Credential | FNP |
| Practice Address |
1280 West 40 Hwy Odessa MO 64076 |
| Mailing Address |
1078 Se 900 Windsor MO 65360-3505 |
| Practice Telephone | 8166335774 |
| Practice Fax Number | 8166335936 |
| Mailing Telephone | 7194520788 |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2019-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0993722 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MO STATE LICENSE NUMBER | 2018032915 | 01 |
| CO | AANC | APN.0993722 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 Central Ave, Dolores, CO 813238720 | 9705642698 | 9705642699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517929 | Tina M Davis | Technician | 2616 Forrestal Ave, Saint Albans, WV 25177-2123 | 2020-10-29 |
| 1538394036 | Tina Lynn Davis | Non-emergency Medical Transport (VAN) | 3014 Lincoln St, Liberty, TX 77575-6121 | 2009-05-28 |
| 1881818789 | Tina Rene Davis | Counselor | 534 S Kansas Ave, Suite 600, Topeka, KS 66603-3451 | 2007-04-12 |
| 1376767210 | Tina Leah Davis | Specialist/Technologist | 4601 Saddle Gate Ln, Acworth, GA 30101-5286 | 2007-04-12 |
| 1346884467 | Tina Mae Davis | Counselor | 322 S Birch St, Mccleary, WA 98557-9522 | 2019-10-31 |
| 1134762602 | Tina Louise Davis | Case Manager/Care Coordinator | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2019-10-28 |
| 1518524883 | Tina Richelle Davis | Social Worker | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2019-05-22 |
| 1073016309 | Tina Lytrell Davis | Case Manager/Care Coordinator | 103 W Market St, Warren, OH 44481-1017 | 2018-03-13 |
| 1396258521 | Tina Marie Davis | Speech-Language Pathologist | 2720 Charles Town Rd, Martinsburg, WV 25405-5626 | 2017-11-09 |
| 1104198035 | Tina Lynne Davis | Counselor | 165 Center St, Jacksonville, NC 28546-5708 | 2012-02-08 |
| Street Address |
1280 WEST 40 HWY |
| City | ODESSA |
| State | MO |
| Zip Code | 64076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619216231 | Heather N Begemann | Nurse Practitioner | 1280 West 40 Hwy, Odessa, MO 64076 | 2013-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548823966 | Bethany Jeanette Foss | Nurse Practitioner | 1280 W 40 Hwy, Odessa, MO 64076 | 2019-04-22 |
| 1558640334 | Linda Lou Proctor | Registered Nurse | 1278 Old Us 40 Hwy, Odessa, MO 64076 | 2011-08-10 |
| 1730499104 | Pamela Joyce Miller | Counselor | 406 A N. 4th Street, Odessa, MO 64076 | 2010-10-19 |
| 1225004781 | Richard Joseph Humble | Counselor | 406a N 4th, Odessa, MO 64076 | 2006-02-24 |
| 1740701697 | Leslie Gleason | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2017-06-30 |
| 1982080008 | Danielle Fera | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2015-07-31 |
| 1184979940 | Lucas Paul Taylor | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2012-07-18 |
| 1093893893 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 101 S 2nd St, Odessa, MO 64076 | 2006-11-01 |
| 1285675132 | Odessa Family Pharmacy | Pharmacy | 316 W 40 Hwy, Ste A, Odessa, MO 64076 | 2006-06-10 |
| 1154968857 | Hypnotic Impact Coaching, LLC | Specialist | 417 E Main St, Odessa, MO 64076-1118 | 2019-12-02 |
| Find all providers in zip 64076 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776115 | Taylor Marie Russell | Nurse Practitioner | 15217 Wind Whisper Dr, Odessa, FL 33556-1832 | 2020-10-07 |
| 1992310551 | Taylor Barnes | Nurse Practitioner | 5919 Fitzgerald Rd, Odessa, FL 33556-2355 | 2020-09-10 |
| 1558995753 | Mission Health, Pllc | Nurse Practitioner | 3112 San Saba Dr, Odessa, TX 79765-5058 | 2020-02-26 |
| 1710549084 | Alyce Greenwood | Nurse Practitioner | 16501 Harper Pond Ln Apt 301, Odessa, FL 33556-6101 | 2019-07-08 |
| 1073170411 | Trudian Alicia Lester | Nurse Practitioner | 8050 E Highway 191 Ste 104, Odessa, TX 79765-8614 | 2019-05-21 |
| 1043773153 | Janette Garcia | Nurse Practitioner | 420 E 6th St Ste 201b, Odessa, TX 79761-4572 | 2019-04-08 |
| 1073074258 | Courtney Clubb | Nurse Practitioner | 410 N Hancock Ave # 4, Odessa, TX 79761-5140 | 2019-03-28 |
| 1891256434 | Joann Mercedes Georges Guillory | Nurse Practitioner | 56 Berkshire Cir, Odessa, TX 79765-2218 | 2019-03-27 |
| 1689138521 | Jacqueline Alcantara | Nurse Practitioner | 15103 Virginia Sta Apt 214, Odessa, FL 33556-3579 | 2019-01-24 |
| 1841767597 | Michael Ebrada | Nurse Practitioner | 16400 Rollingbrook Dr, Odessa, FL 33556-4907 | 2018-10-31 |
| Find all providers in ODESSA | ||||
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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.