EMILY DAVIS (NPI# 1811415342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811415342 |
| Entity Type | Individual |
| Full Name | EMILY DAVIS |
| Practice Address |
4417 W Diversey Ave Chicago IL 60639 |
| Mailing Address |
Po Box 746721 Atlanta GA 30374-6721 |
| Practice Telephone | 7733777736 |
| Practice Fax Number | 8156425723 |
| Mailing Telephone | 3127339730 |
| Mailing Fax Number | 7738668014 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209016460 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Dempster St Ste 120, Park Ridge, IL 600681171 | 8472997888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379224 | Emily Anne Davis | Technician | 1095 Knottsville Rd, Grafton, WV 26354-7171 | 2020-09-01 |
| 1770080939 | Emily Rose Davis | Dermatology | 5333 Mcauley Dr Rm 2111, Ypsilanti, MI 48197-1097 | 2018-04-12 |
| 1831629500 | Emily Davis | Case Manager/Care Coordinator | 1926 La Villa Dr, North Las Vegas, NV 89031 | 2017-06-15 |
| 1013454529 | Emily Clare Davis | Behavior Technician | 2 Marc Ct, Hampton Bays, NY 11946-2809 | 2017-01-22 |
| 1194261040 | Emily Davis | Student in an Organized Health Care Education/Training Program | 40 Lane Ave Nw, Grand Rapids, MI 49504-5410 | 2017-01-17 |
| 1528430683 | Emily Davis | Occupational Therapist | 2804 Shadow Creek Cir, Las Vegas, NV 89117-2437 | 2015-10-28 |
| 1033416896 | Emily Mowry Davis | Nurse Practitioner | 5307 Toler St, Harahan, LA 70123-5220 | 2011-02-14 |
| 1790018588 | Emily Lauren Davis | Speech-Language Pathologist | 887 E Cathy Dr, Gilbert, AZ 85296-3639 | 2009-09-10 |
| 1093964108 | Emily Noelle Davis | Case Manager/Care Coordinator | 17092 Sandra Lee Ln # B, Huntington Beach, CA 92649-4310 | 2008-09-12 |
| 1245846658 | Emily Ane Davis | Counselor | 7346 Ne Sandy Blvd, Portland, OR 97213-5775 | 2020-09-21 |
| Street Address |
4417 W DIVERSEY AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306379268 | Michael Duarte | Family Medicine | 4417 W Diversey Ave, Chicago, IL 60639 | 2017-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1568012375 | Ellen E Cox | Physical Therapist | 4369 W Diversey Ave, Chicago, IL 60639 | 2019-09-13 |
| 1013464593 | Ismile Dental | Dentist | 4953 West Fullerton Ave, Chicago, IL 60639 | 2016-09-01 |
| 1952773566 | Flor Cortes | Pharmacist | 4626 W Diversey, Chicago, IL 60639 | 2015-10-22 |
| 1205178654 | The Head Injury Center for Prevention and Community | Case Management | 1732 N. Narragansett Ave, Chicago, IL 60639 | 2013-03-25 |
| 1013299262 | Aamer Arboleda | Pharmacist | 1606 N. Mobile Ave., Chicago, IL 60639 | 2011-09-14 |
| 1295037927 | Mary Veronica Galiotto | Pharmacist | 2920 N Narragansett, Chicago, IL 60639 | 2010-12-01 |
| 1295067478 | Galileo Optical Co. | Eyewear Supplier (Equipment, not the service) | 5759 W. Fullerton, Chicago, IL 60639 | 2010-02-12 |
| 1831424548 | Sonrisa Family Dental At The Hall, P.C. | Dentist | 4608 A & B West Diversey Avenue, Chicago, IL 60639 | 2009-10-14 |
| 1487803938 | Cortland Manor LLC | Assisted Living Facility | 1900 N. Karlov Ave., Chicago, IL 60639 | 2008-09-09 |
| Find all providers in zip 60639 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1073125431 | Faith M Langtiw | Nurse Practitioner | 2704 W Catalpa Ave, Chicago, IL 60625-3216 | 2020-08-18 |
| 1871114025 | Quickcare, Pllc | Nurse Practitioner | 6419 W Touhy Ave Apt 4a, Chicago, IL 60646-1040 | 2020-04-29 |
| 1376170894 | Julia Jekli | Nurse Practitioner | 365 N Halsted St Apt 3009, Chicago, IL 60661-1379 | 2020-03-25 |
| 1821623281 | Rina Delapena | Nurse Practitioner | 5630 N Sheridan Rd Apt 319, Chicago, IL 60660-4810 | 2020-03-06 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1962032813 | Sonia Ivelis Fernandez | Nurse Practitioner | 6129 N Campbell Ave Apt 1, Chicago, IL 60659-2809 | 2020-01-20 |
| 1164060257 | Julie Ann Daniels | Nurse Practitioner | 5808 W Eddy St, Chicago, IL 60634-4351 | 2019-12-19 |
| 1720625593 | Bogdana Gryniv | Nurse Practitioner | 5758 S Maryland Ave Ste 5a, Chicago, IL 60637-1426 | 2019-11-29 |
| 1023669835 | Carlette Bailey | Nurse Practitioner | 6700 S Oglesby Ave Apt 1204, Chicago, IL 60649-1373 | 2019-09-23 |
| Find all providers in CHICAGO | ||||
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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.