RANDI DAWNIELLE DAVIS (NPI# 1700486008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700486008 |
| Entity Type | Individual |
| Full Name | RANDI DAWNIELLE DAVIS |
| Other Name | RANDI DAWNIELLE THOMPSON |
| Credential | AGNP-C |
| Practice Address |
1543 Country Club Rd Fairmont WV 26554-1306 |
| Mailing Address |
1112 Palmer Rd Adah PA 15410-1130 |
| Practice Telephone | 3043632273 |
| Mailing Telephone | 7249849835 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
105753 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740622497 | Randi L Davis | Nurse Practitioner | 301 S Bay Dr, Bay, AR 72411-9482 | 2013-07-23 |
| 1932478948 | Randi Davis | Social Worker | 174 Tallman Street, Staten Island, NY 10312-2000 | 2011-12-20 |
| 1366923633 | Randi Simone Davis | Social Worker | 3815 Washington St Ste 2, Jamaica Plain, MA 02130-3760 | 2018-08-24 |
| 1215488804 | Randi Renee Davis | Counselor | 333 S Beaudry Ave, Los Angeles, CA 90017 | 2016-10-18 |
| 1659728038 | Randi Davis | Counselor | 719 W Main St, Wautoma, WI 54982-8503 | 2016-05-16 |
| 1316258965 | Randi L Davis | Nurse Practitioner | 600 Highland Ave, Madison, WI 53792-0001 | 2010-06-29 |
| 1295815892 | Randi Terry Davis | Nurse Anesthetist, Certified Registered | 615 S New Ballas Rd, Dept. of Anesthesiology, Saint Louis, MO 63141-8221 | 2006-10-17 |
| Street Address |
1543 COUNTRY CLUB RD |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26554-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073501466 | Wishing Well Manor, Inc. | Skilled Nursing Facility | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2005-10-10 |
| 1083277222 | Breanna Marie Kalanish | Occupational Therapy Assistant | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2019-04-14 |
| 1124597935 | Kira Leigh Nixon | Occupational Therapy Assistant | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2018-11-21 |
| 1659860328 | Lara Nicole Angelilli | Speech-Language Pathologist | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2018-05-08 |
| 1487181095 | Debbie Stahl | Physical Therapy Assistant | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2017-05-12 |
| 1609270586 | Trinity Celapino | Physical Therapy Assistant | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2014-10-21 |
| 1649588948 | Ashley Nicole Kallop | Speech-Language Pathologist | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2010-09-21 |
| 1699081265 | Erica Nicole Mouser | Occupational Therapist | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2010-08-20 |
| 1447565973 | Samantha Jo Stickley | Physical Therapist | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2010-08-09 |
| 1972732816 | Lyndsay Marie Shaffer | Physical Therapist | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2009-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497680 | Vanquisha Clay | Technician | 118 Conaway St, Fairmont, WV 26554 | 2020-11-06 |
| 1851903363 | Denise S Greer | Technician | 1029 Prickett Road, Fairmont, WV 26554 | 2020-08-18 |
| 1730790775 | Darla Lee Mcrobie | Technician | 105 C'anna Square, Fairmont, WV 26554 | 2020-08-13 |
| 1376025718 | Jason Batten | Counselor | 621 Maryland Ave, Fairmont, WV 26554 | 2018-09-02 |
| 1437669066 | Ultimate Health & Wellness, LLC | Naturopath | 2862 Whitehall Blvd, Whitehall, WV 26554 | 2017-10-10 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1477906154 | Rebecca Hayes-merrill | Counselor | 212 Adams St., 3rd Floor, Fairmont, WV 26554 | 2016-07-19 |
| 1790173417 | Dennis Michael Lynch | Counselor | 5 Turf Lane, Fairmont, WV 26554 | 2015-01-05 |
| 1336558725 | Nicole Savage | Home Health Aide | 122 Abbott St, Fairmont, WV 26554 | 2014-08-11 |
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| Find all providers in zip 26554 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285037101 | Fidelis Musau Kiungua | Nurse Practitioner | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2014-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1881080521 | Rochelle Popovich | Nurse Practitioner | 600 18th St Ste 311, Parkersburg, WV 26101-3235 | 2015-04-09 |
| 1457769523 | Morgan Leigh Adams | Nurse Practitioner | 36 White Rock Dr, Hurricane, WV 25526-9621 | 2014-08-01 |
| 1821271008 | Rose M Clark | Nurse Practitioner | 489 Washington Ave, Clarksburg, WV 26301-2825 | 2007-12-11 |
| 1992873251 | Georgia L Narsavage | Nurse Practitioner | Health Science Center South 6700, Wvu Son Nursing Faculty Practice, Morgantown, WV 26506-9600 | 2006-12-02 |
| 1013009570 | Eleanor K Berg | Nurse Practitioner | Route 28/55 Grant Memorial Drive, Grant Memorial Hospital, Petersburg, WV 26847 | 2006-09-29 |
| 1285645374 | James R Ellis | Nurse Practitioner | 425 Stanaford Rd, Beckley, WV 25801-3145 | 2006-08-11 |
| 1326036419 | Christine La Porte Palank | Nurse Practitioner | Shepherd Univ Student Health Services, E King St, Shepherdstown, WV 25443-1032 | 2005-10-12 |
| 1326043365 | Michael Shawn Stockman | Nurse Practitioner | 440 Koonce Rd, Harpers Ferry, WV 25425-3126 | 2005-06-16 |
| 1578179081 | Samantha Renee Wise | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-09-20 |
| 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.