CONNIE LAVON DAVIS (NPI# 1619392123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619392123 |
| Entity Type | Individual |
| Full Name | CONNIE LAVON DAVIS |
| Credential | GNP-BC |
| Practice Address |
3130 Squalicum Pkwy Ste 100 Bellingham WA 98225-1940 |
| Mailing Address |
Po Box 2093 Sumas WA 98295-2093 |
| Practice Telephone | 3607560382 |
| Mailing Telephone | 6049914563 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN0077001 | WA | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP30003227 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494315 | Connie Davis | Family Medicine | 8135 Kenton St, Houston, TX 77028-4631 | 2020-10-16 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1457745515 | Connie Davis | Counselor | 9917 Ramshorn St, Thonotosassa, FL 33592-2465 | 2015-03-26 |
| 1154635803 | Connie Linda Davis | Speech-Language Pathologist | 1610 Shands Dr, Tupelo, MS 38804-1734 | 2010-08-04 |
| 1417078692 | Connie Davis | Nurse Practitioner | 700 Se 5th Ter Ste 2, Crystal River, FL 34429-4865 | 2007-04-03 |
| 1598883902 | Connie Kaye Davis | Counselor | 807 Madison St, Oregon, IL 61061-1735 | 2007-03-26 |
| 1043395841 | Connie L. Davis | Internal Medicine | 208 Hospital Parkway, Mount Vernon, WA 98274 | 2006-10-27 |
| 1821054370 | Connie Marie Davis | Psychologist | 105 Lakeview Road, Mt Gretna, PA 17064 | 2006-04-25 |
| 1538142864 | Connie M. Davis | Nurse Practitioner | 401 Sw Bel Air Drive, Clatskanie, OR 97016 | 2005-11-21 |
| 1831576479 | Connie Rae Davis | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2015-05-04 |
| Street Address |
3130 SQUALICUM PKWY STE 100 |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98225-1940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811400179 | Rachel Parmer | Nurse Practitioner | 3130 Squalicum Pkwy Ste 100, Bellingham, WA 98225-1940 | 2017-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1770129264 | Ariella K Ross | Massage Therapist | 2701 Northwest Avenue, Bellingham, WA 98225 | 2019-11-20 |
| 1467006205 | Family Care Network, Pllc | Family Medicine | 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 | 2019-07-30 |
| 1487110375 | Rhonda Beth Steel | Massage Therapist | Fairhaven Harbor, 1310 9th Street Penthouse No. 504, Fairhaven/bellingham, WA 98225 | 2019-02-15 |
| 1366915316 | Alexander Knight Acupuncture Inc | Acupuncturist | 12 Bellwether Way, Suite 201, Bellingham, WA 98225 | 2019-01-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| 1639650336 | Jennifer Sue Cogen | Massage Therapist | 2701 Northwest Ave. (ohana Pacific, Inc.), Bellingham, WA 98225 | 2018-08-22 |
| 1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
| Find all providers in zip 98225 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497203244 | Trina Koudelka | Nurse Practitioner | 3015 Squalicum Pkwy Ste 100, Bellingham, WA 98225-1906 | 2016-09-21 |
| 1750892311 | Sarah Lee | Nurse Practitioner | 2901 Squalicum Pkwy, Bellingham, WA 98225-1851 | 2017-10-22 |
| 1902091184 | Gertrude A James | Nurse Practitioner | 3015 Squalicum Parkway, Suite 100, Bellingham, WA 98225 | 2007-09-11 |
| 1396704342 | Erin Kathleen Baumgart | Nurse Practitioner | 3015 Squalicum Pkwy, Suite 100, Bellingham, WA 98225-1989 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730713348 | Terra Ann Mclain | Nurse Practitioner | 2803 Pilot Ln, Yakima, WA 98901-1022 | 2020-02-24 |
| 1437716032 | Julia Yang Chen | Nurse Practitioner | 16831 1st Ave W, Bothell, WA 98012-4961 | 2019-05-20 |
| 1699242651 | Patricia Fay Fitzhugh | Nurse Practitioner | 615 W 16th Ave, Spokane, WA 99203-2130 | 2018-10-29 |
| 1598240657 | Beibei Chen | Nurse Practitioner | 5801 223rd Pl Sw, Mountlake Terrace, WA 98043-3123 | 2018-09-25 |
| 1255791414 | Quynh-anh Phan | Nurse Practitioner | 801 Sw 150th St Ste 230, Burien, WA 98166-1855 | 2016-03-02 |
| 1467836056 | Horizon Health Foundation | Nurse Practitioner | 123 W. Cascade Way, Spokane, WA 99208 | 2015-07-14 |
| 1578955910 | Esateys Stuchiner | Nurse Practitioner | 19410 Ne 116th St, Brush Prairie, WA 98606-3002 | 2015-02-23 |
| 1619377587 | Phiroce Ishaque, LLC | Nurse Practitioner | 5414 Barnes Ave Nw Ste 1, Seattle, WA 98107-3839 | 2014-08-28 |
| 1700217155 | Elisa Martin | Nurse Practitioner | 6025 Vassar Ave Ne, Seattle, WA 98115-7622 | 2013-12-11 |
| 1780015537 | Home Wellness Solutions LLC | Nurse Practitioner | 18628 Ne 139th St, Woodinville, WA 98072-6586 | 2013-12-04 |
| Find all providers with the same taxonomy | ||||
| City | BELLINGHAM |
| Zip Code | 98225 |
Please comment or provide details below to improve the information on CONNIE LAVON 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.