MRS. KRISTEN B DAVIS (NPI# 1578643250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578643250 |
Entity Type | Individual |
Full Name | MRS. KRISTEN B DAVIS |
Other Name | MISS KRISTEN RENEE BLACKMAN |
Credential | PA-C |
Practice Address |
21446 Entrada Rd Topanga CA 90290-3539 |
Practice Telephone | 3233774679 |
Mailing Telephone | 3233774679 |
Enumeration Date | 2006-10-16 |
Last Update Date | 2016-12-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA22285 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NPI | 1578643250 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477175156 | Kristen Davis | Registered Nurse | 6076 Millerstown Rd, Clarkson, KY 42726-8133 | 2020-05-15 |
1851809909 | Kristen Nicole Davis | Nurse Practitioner | 409 Gaslight Blvd Ste 4, Lufkin, TX 75904-3158 | 2018-01-10 |
1487166633 | Kristen Tilton Davis | Speech-Language Pathologist | 1305 Walden Cir, Hewitt, TX 76643-3933 | 2017-10-27 |
1114440872 | Kristen Margaret Davis | Lactation Consultant, Non-RN | 39351 Oak Cliff Dr, Temecula, CA 92591-4562 | 2017-07-24 |
1063943421 | Kristen Nicole Davis | Nurse Practitioner | 5755 Almeda Rd Unit 309, Houston, TX 77004-8110 | 2017-03-27 |
1134508682 | Kristen Davis | Dietitian, Registered | 5413 W Genesee St, Camillus, NY 13031-2100 | 2015-05-29 |
1164792552 | Kristen Davis | Occupational Therapist | 321 Old Place Ln, Madisonville, LA 70447-3118 | 2012-01-03 |
1609076900 | Kristen Canby Davis | Social Worker | 521 Jack Stephens Dr, Little Rock, AR 72205-5524 | 2007-07-24 |
1902371974 | Kristen B Davis | Nurse Practitioner | 2416 Capstone Ct, Columbus, GA 31909-2795 | 2018-10-05 |
1518459775 | Kristen Marie Davis | Optometrist | 1618 Lee Victory Pkwy, Smyrna, TN 37167-6529 | 2018-06-04 |
Street Address |
21446 ENTRADA RD |
City | TOPANGA |
State | CA |
Zip Code | 90290-3539 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356955595 | Express Healthcare LLC | Psychologist | 21839 Saddle Peak Road, Topanga, CA 90290 | 2020-09-04 |
1942623061 | Destinations To Recovery LLC | Substance Abuse Rehabilitation Facility | 22029 Canon Drive, Topanga, CA 90290 | 2014-01-24 |
1780018564 | William Stuart Weil | Family Medicine | 1825 Ocean Front Walk, Venice, CA 90290 | 2013-08-28 |
1629311402 | Destinations To Recovery LLC | Substance Abuse Rehabilitation Facility | 20851 Cheney Drive, Topanga, CA 90290 | 2013-03-31 |
1598098162 | Minou Z Mayer | Marriage & Family Therapist | 21448 Entrada Road, Topanga, CA 90290 | 2009-09-14 |
1669776019 | Mari Christina Oxenberg | Registered Nurse | 712 Hillcrest Dr, Topanga, CA 90290-3107 | 2010-12-28 |
1518287515 | Laura Elizabeth Kelly | Acupuncturist | 19616 Walnut Trl, Topanga, CA 90290-3120 | 2010-06-02 |
1386901668 | Jennifer Meininger | Acupuncturist | 353 S Topanga Canyon Blvd, Topanga, CA 90290-3135 | 2012-04-11 |
1841557097 | Zoeacupuncture | Residential Treatment Facility, Physical Disabilities | 353 S Topanga Canyon Blvd, Topanga, CA 90290-3135 | 2012-04-12 |
1841368818 | Topanga Medical Clinic | Clinic/Center | 395 S Topanga Canyon Blvd, Suite 104, Topanga, CA 90290-3143 | 2006-11-30 |
Find all providers in zip 90290 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649894403 | Kathlyn Larco | Physician Assistant | 1233 W Randall Way, West Covina, CA 91790-4747 | 2020-06-07 |
1487126421 | Eliza Hughes | Physician Assistant | 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 | 2018-12-31 |
1508333873 | Andrew Cantos Malit | Physician Assistant | 409 Bristol Way, Corona, CA 92879-6156 | 2018-10-25 |
1578049458 | Ida Jelveh | Physician Assistant | 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 | 2018-07-13 |
1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
1225532385 | Folsom Physicain Assistant First Assist, Inc | Physician Assistant | Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 | 2018-03-22 |
1275040008 | Gm Surgical Assistant Inc | Physician Assistant | 15615 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-01-02 |
1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
1184143828 | Alaa Abdalla Daghlas | Physician Assistant | 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 | 2017-09-13 |
Find all providers with the same taxonomy |
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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.