MELISSA SAM DAVIS (NPI# 1801147152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801147152 |
| Entity Type | Individual |
| Full Name | MELISSA SAM DAVIS |
| Other Name | MELISSA SAM GRANGER |
| Credential | LMSW |
| Practice Address |
Corner of Veterans Way and Lamont Street James H Quillen Va Medical Center Mountain Home TN 37684-4000 |
| Mailing Address |
1304 Midland Dr Kingsport TN 37664-3044 |
| Practice Telephone | 4239261171 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LSW0000008384 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285160325 | Melissa Davis | Nurse Practitioner | 1228 Harden St Ste A, Columbia, SC 29204-1800 | 2017-05-11 |
| 1245761162 | Melissa Davis | Assisted Living Facility | 4364 Diamond Rd, Winter Haven, FL 33880-1502 | 2017-03-22 |
| 1811358385 | Melissa Davis | Specialist/Technologist | 12226 Collins Drive, King Athletic Center, Emory, VA 24327 | 2016-03-11 |
| 1538524954 | Melissa Davis | Specialist | 276 Rhedia Ln, Hughesville, PA 17737-8363 | 2015-12-30 |
| 1841684040 | Melissa May Davis | Contractor | 311 Newgarden Ave Apt A, Salem, OH 44460-3040 | 2015-03-25 |
| 1942617097 | Melissa Davis | Counselor | 1508 Hoffman, Royal Oak, MI 48067 | 2014-07-21 |
| 1518398981 | Melissa Cook Davis | Physician Assistant | 215 Brightwater Dr, Lillington, NC 27546-5156 | 2013-12-10 |
| 1790113116 | Melissa Davis | Doula | 1224 Irby Dr, Richmond, VA 23225-2904 | 2013-10-22 |
| 1881904118 | Melissa Davis | Licensed Practical Nurse | 85 Thompson St, Staten Island, NY 10304-2729 | 2010-10-20 |
| 1720313034 | Melissa Lyn Davis | Marriage & Family Therapist | 6093 Walnut Hill Dr, Lake Worth, FL 33467-6181 | 2009-10-05 |
| Street Address |
CORNER OF VETERANS WAY AND LAMONT STREET JAMES H QUILLEN VA MEDICAL CENTER |
| City | MOUNTAIN HOME |
| State | TN |
| Zip Code | 37684-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730524 | Kendra Lee Thorne | Psychologist | Corner of Lamont St and Veterans Way, Building 160, Mountain Home, TN 37684 | 2020-11-04 |
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1699393256 | Joshua Thomas Spencer | Pharmacist | Veterans Way and Lamont St, Mountain Home, TN 37684 | 2020-07-10 |
| 1073140265 | James Hankil Kim | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-03-26 |
| 1932736030 | Trishna Sharma | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive Mountain Home, Johnson City, TN 37684 | 2020-03-26 |
| 1508421884 | Sarvatit Patel | Student in an Organized Health Care Education/Training Program | 52 Lake Dr, Mountain Home, TN 37684 | 2019-05-02 |
| 1902366024 | Katelyn Cserjes | Student in an Organized Health Care Education/Training Program | Building 52 Lake Drive Va Medical Center, Mountain Home, TN 37684 | 2019-03-24 |
| 1114404282 | Anesa Ellen Hughes | Pharmacist | Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 | 2018-07-23 |
| 1508352287 | Leon Nguyen | Optometrist | James H. Quillen Vamc - Lamont St & Veterans Way, Eye Clinic 112e, Mountain Home, TN 37684 | 2018-07-06 |
| 1649761750 | Bahaaeldin Ibrahim Mahmoud Youssef | Student in an Organized Health Care Education/Training Program | Va Building 1 Carl A Jones Hall, Dogwood Avenue, Mountain Home, TN 37684 | 2018-05-24 |
| Find all providers in zip 37684 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972958643 | Dawn Ranae Juker | Social Worker | 441 Nw Heron Ave, Mountain Home, ID 83647-2444 | 2016-04-29 |
| 1083975403 | Emily Erin Conklin | Social Worker | Building 69, Dogwood Ave., Mountain Home, TN 37684 | 2012-06-01 |
| 1285963249 | Faramarz Shahinpori | Social Worker | # 8 Medical Plaza, Mountain Home, AR 72653 | 2009-12-21 |
| 1699913855 | Lakeshia Hasten | Social Worker | Corner of Sydney & Lamont St., Mountain Home, TN 37684 | 2009-01-27 |
| 1811135106 | Heidi Vivian Bailey | Social Worker | 8 Dogwood Ave, Mountain Home, TN 37684 | 2009-01-26 |
| 1770721045 | Peggy A Willingham | Social Worker | 100 Corner of Sidney & Lamont, Mountain Home, TN 37684 | 2009-01-26 |
| 1003054446 | Tina Davenport Rowland | Social Worker | 160 Dogwood Ave, Mountain Home, TN 37684-4000 | 2009-01-22 |
| 1598903924 | Rebecca Michelle Barger | Social Worker | Corner of Sydney and Lamont St, Mountain Home, TN 37684 | 2009-01-22 |
| 1134366628 | Chelsa Jean Wells | Social Worker | 100 Lamont Street, Mountain Home, TN 37684 | 2009-01-21 |
| 1053596403 | Amy Sandell | Social Worker | 353 E 8th St, Mountain Home, AR 72653-4423 | 2008-01-04 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 37684 |
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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.