KRISTA DAVIS (NPI# 1639790710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639790710 |
| Entity Type | Individual |
| Full Name | KRISTA DAVIS |
| Practice Address |
2434 S Eason Blvd Tupelo MS 38804-6942 |
| Practice Telephone | 6626404595 |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316507718 | Krista Joy Renae Davis | Nurse Practitioner | 2000b Trans Mountain Rd Ste 200, El Paso, TX 79911-3600 | 2019-06-18 |
| 1083128144 | Krista Davis | Massage Therapist | 8930 Pioneer Dr, Anchorage, AK 99504-4259 | 2017-11-28 |
| 1134781446 | Krista Shalynn Davis | Social Worker | 182 16th St, Burlington, CO 80807-1649 | 2019-07-08 |
| 1285134882 | Krista Leigh Davis | Behavior Technician | 436b Station Ave, South Yarmouth, MA 02664-1208 | 2018-02-20 |
| 1851840334 | Krista Davis | Dietitian, Registered | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2016-09-26 |
| 1104234103 | Krista Davis | Speech-Language Pathologist | 1627 E Broomfield St, Mount Pleasant, MI 48858-5429 | 2014-07-23 |
| 1104255140 | Krista Davis | Counselor | 107 E Micheltorena St, Santa Barbara, CA 93101-1905 | 2013-11-08 |
| 1871921791 | Krista Davis | Physical Therapist | 800 E Carpenter St, Springfield, IL 62769-1000 | 2013-10-31 |
| 1235562794 | Krista Van Derwood Davis | Social Worker | 3701 Loop Rd, Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404-5015 | 2013-08-19 |
| 1417090242 | Krista Schobert Davis | Dentist | 2202 N Berkshire Rd, Charlottesville, VA 22901-2761 | 2007-02-14 |
| Street Address |
2434 S EASON BLVD |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-6942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508893074 | Ross E Collins Jr. | Psychiatry & Neurology | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2006-06-28 |
| 1245831551 | Lisa Roberts | Registered Nurse | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-11-03 |
| 1295336519 | Kyra Neal | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-11-03 |
| 1124635354 | Kecia Williams | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-10-01 |
| 1144837675 | Daniele Nolan | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-29 |
| 1639786163 | Reagan Bartley | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-29 |
| 1033725056 | Moesha Banks | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-16 |
| 1891301719 | Makinley Neighbors | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-16 |
| 1073129094 | Stephanie Johnson | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-16 |
| 1275149197 | Hallie Goodson | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477173516 | Jessica Roberts, Pllc | Counselor | 354 N Broadway St, Tupelo, MS 38804-3926 | 2020-04-18 |
| 1639726474 | Latesha Short | Counselor | 2434 S Eason Blvd # 1, Tupelo, MS 38804-6942 | 2019-08-26 |
| 1730661331 | Fair Park Counseling Pllc | Counselor | 210 E Main St Ste 2c, Tupelo, MS 38804-4017 | 2018-08-30 |
| 1710468863 | Wellness & Counseling Center of Tupelo LLC | Counselor | 499 Gloster Creek Vlg Ste F-5c, Tupelo, MS 38801-4600 | 2018-08-27 |
| 1316423205 | Corey Keith | Counselor | 6134 Park Heights Cir, Tupelo, MS 38801-6023 | 2018-07-14 |
| 1972037554 | Janet A Hardy | Counselor | 1202 Harrison St, Tupelo, MS 38801-5646 | 2017-04-20 |
| 1598126401 | Norris Lipsey | Counselor | 246 S Veterans Blvd, Tupelo, MS 38804-5022 | 2016-03-19 |
| 1356706535 | Donna Gail Thompson | Counselor | 699 Nation Hills Dr, Tupelo, MS 38804-6057 | 2015-12-15 |
| 1205215126 | Kana Crumby | Counselor | 499 S Gloster St, Tupelo, MS 38801-5539 | 2015-05-26 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in TUPELO | ||||
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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.