SARA DAVIS (NPI# 1710516059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710516059 |
| Entity Type | Individual |
| Full Name | SARA DAVIS |
| Credential | NP |
| Practice Address |
2235 Cleveland Rd South Bend IN 46628-3529 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5746474530 |
| Mailing Telephone | 5746471610 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28180353A | IN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71010123A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300040085 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450358 | Sara Leanne Davis | Nurse Practitioner | 230 Possum Ridge Rd, Hollandale, MS 38748-3755 | 2020-09-06 |
| 1972161958 | Sara Davis | Dentist | 65 Northgate Ave #11, Morrisville, VT 05661 | 2019-06-04 |
| 1841789963 | Sara Marie Davis | Counselor | 540 Officenter Pl Ste 290, Gahanna, OH 43230-5352 | 2018-05-03 |
| 1497266050 | Sara Danielle Davis | Social Worker | 2635 Massena St, Commerce Twp, MI 48382-3549 | 2017-10-22 |
| 1114387099 | Sara Davis | Social Worker | 1202 Westrac Drive Suite 400, Fargo, ND 58103 | 2016-03-04 |
| 1336478098 | Sara Davis | Licensed Practical Nurse | 963 Xenia Ave, Apt. B, Wilmington, OH 45177-1676 | 2009-12-09 |
| 1205064854 | Sara E Davis | Massage Therapist | 3102 S Sommer Ln, Veradale, WA 99037 | 2009-06-22 |
| 1205095130 | Sara Davis | Counselor | 3932 3rd Ave, San Diego, CA 92103-3059 | 2008-06-05 |
| 1659409175 | Sara M Davis | Occupational Therapist | 9015 W Silver Hollow Ct, Wichita, KS 67205-8854 | 2007-02-28 |
| 1720137995 | Sara R Davis | Physician Assistant | 350 N Cox St Ste 27, Asheboro, NC 27203-5514 | 2007-01-09 |
| Street Address |
2235 CLEVELAND RD |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46628-3529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750379871 | Christopher Charles Hall | Family Medicine | 2235 Cleveland Rd, South Bend, IN 46628-3529 | 2005-10-12 |
| 1760996623 | Indiana Eye Institute LLC | Ophthalmology | 2235 Cleveland Rd, South Bend, IN 46628-3529 | 2017-11-29 |
| 1588024624 | Beacon Medical Group, Inc. | Family Medicine | 2235 Cleveland Rd, South Bend, IN 46628-3529 | 2016-03-02 |
| 1205240637 | John A Whitney | Family Medicine | 2235 Cleveland Rd, South Bend, IN 46628-3529 | 2014-06-13 |
| 1467687277 | Leah Diane Craft | Family Medicine | 2235 Cleveland Rd, South Bend, IN 46628 | 2009-05-22 |
| 1215135918 | Travis Wade Casper | Family Medicine | 2235 Cleveland Rd, South Bend, IN 46628-3529 | 2007-07-05 |
| 1255371514 | Olivia Grayce Tack | Pediatrics | 2235 Cleveland Rd, South Bend, IN 46628-3529 | 2006-06-07 |
| 1447215611 | Arif Goreja | Internal Medicine | 2235 Cleveland Rd, South Bend, IN 46628-3529 | 2006-04-19 |
| 1508836172 | Syed Mohsan Rizvi | Internal Medicine | 2235 Cleveland Rd, South Bend, IN 46628-3529 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419249 | Mahogany Maternity | Doula | 22500 Lincoln Way West, South Bend, IN 46628 | 2020-02-12 |
| 1093126120 | Julie Collier | Pharmacist | 3600 Northportage Road, South Bend, IN 46628 | 2014-05-12 |
| 1588075717 | J Curylo | Pharmacist | 3600 N Portage Rd, South Bend, IN 46628 | 2014-05-09 |
| 1609287986 | Thomas Daniels | Pharmacist | 3600 North Portage Rd., South Bend, IN 46628 | 2014-05-08 |
| 1639467277 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 3371 Cleveland Rd Ste 310, South Bend, IN 46628 | 2011-07-18 |
| 1497891014 | Danielle Colleen Luten | Homemaker | 1830 N Brookfield, South Bend, IN 46628 | 2007-01-30 |
| 1700885498 | Stephen D Kennedy | Family Medicine | 5838 W Brick Rd Ste 106, South Bend, IN 46628 | 2005-07-15 |
| 1205440666 | Kristin Lynette Stringer | Registered Nurse | 53174 Flowing Stream Ct, South Bend, IN 46628 | 2020-09-03 |
| 1033489844 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3600 Portage Rd, South Bend, IN 46628 | 2012-01-10 |
| 1518387216 | Kendra Weber | Specialist/Technologist | 904 Woodbine Way, South Bend, IN 46628-1241 | 2014-04-21 |
| Find all providers in zip 46628 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205334927 | Martha Wahu Mburu | Nurse Practitioner | 17747 Tallyho Dr E, South Bend, IN 46635-1040 | 2018-01-28 |
| 1194245324 | Sameka Renee Dowell Mills | Nurse Practitioner | 112 W Jefferson Blvd Ste 600, South Bend, IN 46601-1921 | 2017-06-20 |
| 1265826226 | Mario Remedios Ortiz | Nurse Practitioner | 1700 Mishawaka Ave # Sac-130, Health & Wellness Center, Iu South Bend, South Bend, IN 46615-1408 | 2015-03-26 |
| 1023400454 | Amanda Lundberg | Nurse Practitioner | 53830 Generations Dr Ste 110, South Bend, IN 46635-1538 | 2015-02-23 |
| 1932520426 | Stephanie Brenneman | Nurse Practitioner | 943 S 25th St, South Bend, IN 46615-1707 | 2013-12-30 |
| 1467747014 | Deidre A Coffey | Nurse Practitioner | 1025 Widener Ln, South Bend, IN 46614 | 2011-06-12 |
| 1083919161 | Caitlin Vlaeminck | Nurse Practitioner | 6301 University Commons Ste 320, South Bend, IN 46635-1479 | 2011-01-20 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| 1780620005 | Barbara Ann Norris | Nurse Practitioner | 1432 Lincoln Way E, South Bend, IN 46613-3205 | 2006-06-22 |
| 1184629891 | Sharon K Klingerman | Nurse Practitioner | 100 Navarre Pl, Ste 5550, South Bend, IN 46601-1169 | 2005-06-17 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46628 |
Please comment or provide details below to improve the information on SARA 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.