MR. BARRY DEE DAVIDSON (NPI# 1740550284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740550284 |
| Entity Type | Individual |
| Full Name | MR. BARRY DEE DAVIDSON |
| Credential | CP 3147, |
| Practice Address |
735 W Jackson St Cookeville TN 38501-3993 |
| Practice Telephone | 9312677703 |
| Mailing Telephone | 9312677703 |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | 06 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | 07 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699847350 | Barry A Davidson | Plastic Surgery | 2000 Washington St, Suite 545, Newton, MA 02462-1650 | 2006-11-15 |
| Street Address |
735 W JACKSON ST |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-3993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686480 | Cody Daniel Whittaker | Orthotist | 735 W Jackson St, Cookeville, TN 38501-3993 | 2020-07-17 |
| 1326319633 | Tennessee Limb and Brace LLC | Prosthetic/Orthotic Supplier | 735 W Jackson St, Cookeville, TN 38501-3993 | 2012-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853865 | Marjorie D. Branch | Prosthetist | 949 E Brooks Rd, Memphis, TN 38116-3100 | 2019-04-01 |
| 1316415987 | Juliette Primm | Prosthetist | 1710 Sheila Ann Dr, Mount Juliet, TN 37122-3295 | 2018-11-12 |
| 1588146872 | Paula A Cobbs | Prosthetist | 6295 Summer Ave, Memphis, TN 38134-5982 | 2018-09-03 |
| 1730678590 | Hal Medical O&p Tennessee, LLC | Prosthetist | 135 N 1st St Ste A, Pulaski, TN 38478-3225 | 2018-05-08 |
| 1134621907 | Ava Lawanda Freeman | Prosthetist | 285 Dover Rd Ste 7, Clarksville, TN 37042-4155 | 2018-03-07 |
| 1861911497 | Pampered Health Cosmedic Studio, LLC | Prosthetist | 2528 Labonte Dr, Memphis, TN 38127-3608 | 2017-09-14 |
| 1073037248 | Unique Boutique | Prosthetist | 1127 N Eastman Rd Ste A, Kingsport, TN 37664-3165 | 2017-07-31 |
| 1992239578 | David Seaman | Prosthetist | 6807 Summer Ave, Bartlett, TN 38134-4742 | 2017-04-20 |
| 1467857243 | Tammy Kim Almond | Prosthetist | 109 Broyles Dr, Suite A, Johnson City, TN 37601 | 2014-10-23 |
| 1871748178 | Gary Lee Howell | Prosthetist | 800 Stonegate Rd., Kingsport, TN 37660 | 2008-12-01 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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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.