KIMBERLY DIANE DAVIS (NPI# 1639791379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639791379 |
| Entity Type | Individual |
| Full Name | KIMBERLY DIANE DAVIS |
| Credential | DO |
| Practice Address |
130 Hartford Road Manchester CT 06040 |
| Mailing Address |
71 Haynes St Manchester CT 06040-4131 |
| Practice Telephone | 8605334679 |
| Practice Fax Number | 8606454151 |
| Mailing Telephone | 8605334679 |
| Mailing Fax Number | 8606454151 |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052470 | Kimberly Michel Davis | Registered Nurse | 4560 Atwater Ct Ste 105-2, Buford, GA 30518-3497 | 2020-01-14 |
| 1477194686 | Kimberly Sienna Davis | Counselor | 17510 Huffmeister Rd Ste 102, Cypress, TX 77429-6785 | 2019-09-30 |
| 1457908550 | Kimberly Davis | Speech-Language Pathologist | 203 Roach Rd, Choudrant, LA 71227-3625 | 2019-08-22 |
| 1619438462 | Kimberly Ann Davis | Registered Nurse | 234 E Dobkins St, Dublin, TX 76446-2713 | 2019-03-26 |
| 1649739376 | Kimberly R Davis | Registered Nurse | 14912 W 150th Ter, Olathe, KS 66062-4610 | 2019-03-12 |
| 1740765726 | Kimberly Sue Davis | Case Manager/Care Coordinator | 3171 N Meridian St Fl 2, Indianapolis, IN 46208-4784 | 2018-09-26 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1215426010 | Kimberly Ann Davis | Nurse Practitioner | 4470 Regency Pl Ste 106, White Plains, MD 20695-3085 | 2018-05-07 |
| 1962924894 | Kimberly Ann Davis | Developmental Therapist | 2370 Nw 95th Ave., Coral Springs, FL 33065-4978 | 2017-07-12 |
| 1346693108 | Kimberly Davis | Licensed Practical Nurse | 50 Esther St, Pontiac, MI 48341-2176 | 2016-07-18 |
| Street Address |
130 HARTFORD ROAD |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| 1831566983 | Gary Cesca | Social Worker | 45 North School St, Manchester Public Schools, Manchester, CT 06040 | 2015-08-25 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335687 | Brenton Keele | Student in an Organized Health Care Education/Training Program | 97 Bridge St Apt 6, Manchester, NH 03101-1651 | 2020-08-09 |
| 1205450962 | Matthew Payne | Student in an Organized Health Care Education/Training Program | 69 Kaunas Cir, Manchester, NH 03102-2317 | 2020-05-28 |
| 1578183356 | Miranda Renae Hooker | Student in an Organized Health Care Education/Training Program | 415 Millstone Ave Apt 14, Manchester, NH 03102-7189 | 2020-04-21 |
| 1578182549 | Zerina Dulas | Student in an Organized Health Care Education/Training Program | 130 Cilley Rd, Manchester, NH 03103-5637 | 2020-04-10 |
| 1710517875 | Derek Simpson | Student in an Organized Health Care Education/Training Program | 22 Fir St, Manchester, NH 03101-1238 | 2020-01-17 |
| 1811537509 | Madeleine Mary Gamache | Student in an Organized Health Care Education/Training Program | 1009 Ray St, Manchester, NH 03104-1619 | 2020-01-09 |
| 1023657236 | Christopher Ryan Lemons | Student in an Organized Health Care Education/Training Program | 106 Hidden Oak Way, Manchester, NH 03102-8464 | 2020-01-06 |
| 1154967685 | Shamelia Shante Crosby | Student in an Organized Health Care Education/Training Program | 12 Lilley St, Manchester, CT 06040-4232 | 2019-11-19 |
| 1275189615 | Mustakim Talukder | Student in an Organized Health Care Education/Training Program | 576 Brent St, Manchester, NH 03103-7735 | 2019-08-12 |
| 1740841642 | Alexandra George | Student in an Organized Health Care Education/Training Program | 123 Vinton St, Manchester, NH 03103-3929 | 2019-06-23 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
Please comment or provide details below to improve the information on KIMBERLY DIANE 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.