CARLA R DAVIS (NPI# 1881100576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881100576 |
| Entity Type | Individual |
| Full Name | CARLA R DAVIS |
| Practice Address |
1015 W Lawrence Ave Fl 2 Chicago IL 60640-5017 |
| Mailing Address |
4750 N Sheridan Rd Fl 4 Chicago IL 60640-7528 |
| Practice Telephone | 7732752586 |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
29186 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215572409 | Carla L Davis | Preferred Provider Organization | 3709 N. 41st Street, Milwaukee, WI 53216-3044 | 2019-11-12 |
| 1194888040 | Carla Rae Davis | Counselor | 607 8th St Sw, Suite C, Altoona, IA 50009-2314 | 2006-12-19 |
| 1568472785 | Carla Elaine Davis | Family Medicine | 3075 N Reserve St, Suite Q, Missoula, MT 59808-1389 | 2006-08-09 |
| 1457901639 | Carla Davis | Nurse Practitioner | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2019-09-18 |
| 1467756478 | Carla Davis | Counselor | 2667 Highway 145, Saltillo, MS 38866-9771 | 2011-01-05 |
| 1457586638 | Carla Ann Davis | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2009-05-18 |
| 1497920433 | Carla M Davis | Occupational Therapist | 3703 W Lake Ave, Suite 200, Glenview, IL 60026-5823 | 2008-04-29 |
| 1235325291 | Carla Rana Davis | Nurse Practitioner | 920 2nd Ave S, Minneapolis, MN 55402-3318 | 2007-09-24 |
| 1194915827 | Carla Davis | Counselor | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2007-07-30 |
| 1679653018 | Carla Davis | Pediatrics | 6701 Fannin St, Houston, TX 77030-2316 | 2006-10-17 |
| Street Address |
1015 W LAWRENCE AVE FL 2 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-5017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407969041 | Kohar Jones | Family Medicine | 1015 W Lawrence Ave Fl 2, Chicago, IL 60640-5017 | 2006-08-17 |
| 1053938738 | Samiyyah Edmiston | Registered Nurse | 1015 W Lawrence Ave Fl 2, Chicago, IL 60640-5017 | 2020-06-29 |
| 1487288148 | Jarrett W Langfitt | Social Worker | 1015 W Lawrence Ave Fl 2, Chicago, IL 60640-5017 | 2020-03-02 |
| 1891333811 | Benjamin N Mengebier | Counselor | 1015 W Lawrence Ave Fl 2, Chicago, IL 60640-5017 | 2019-12-20 |
| 1659918571 | Eilis M Fagan | Social Worker | 1015 W Lawrence Ave Fl 2, Chicago, IL 60640-5017 | 2019-12-10 |
| 1891256020 | Alicia Kay Vander Wal | Registered Nurse | 1015 W Lawrence Ave Fl 2, Chicago, IL 60640-5017 | 2019-03-29 |
| 1073079570 | Melissa Salgado-bellin | Registered Nurse | 1015 W Lawrence Ave Fl 2, Chicago, IL 60640-5017 | 2019-02-20 |
| 1750845855 | Sheil A Shah | Social Worker | 1015 W Lawrence Ave Fl 2, Chicago, IL 60640-5017 | 2019-01-23 |
| 1679048854 | Kimberlee K Ross | Social Worker | 1015 W Lawrence Ave Fl 2, Chicago, IL 60640-5017 | 2018-10-03 |
| 1326537747 | Daniel J Meloy | Social Worker | 1015 W Lawrence Ave Fl 2, Chicago, IL 60640-5017 | 2018-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1073127775 | Deborah Lynn Dettman | Counselor | 1209 W Sherwin Ave Apt 809, Chicago, IL 60626-2257 | 2020-09-01 |
| 1538705793 | Andrew W Rintels | Counselor | C/o Madden, Jiganti, Moore & Sinars LLP, 190 South Lasalle Street, Suite 1700, Chicago, IL 60603 | 2019-11-22 |
| 1710528518 | Gateway Professional Services, PC | Counselor | 55 E Jackson Blvd Ste 1500, Chicago, IL 60604-4184 | 2019-10-02 |
| 1801447552 | Erika Chawla | Counselor | 1658 N Milwaukee Ave # 8253, Chicago, IL 60647-6905 | 2019-09-24 |
| 1336790310 | Robert J Smith | Counselor | 2544 W Irving Park Rd Apt 1e, Chicago, IL 60618-3752 | 2019-09-22 |
| 1255997987 | Austin Hall | Counselor | 2942 W Lake St, Chicago, IL 60612-1924 | 2019-05-17 |
| 1417418914 | Monica Connelly | Counselor | 800 N Lake Shore Dr Ste 800, Chicago, IL 60611-2402 | 2019-03-27 |
| 1336608439 | Columbus Manor | Counselor | 5107 W Jackson Blvd, Chicago, IL 60644-4316 | 2019-03-18 |
| 1972062958 | Patricia B Flaherty | Counselor | 210 S Desplaines St Apt 1407, Chicago, IL 60661-5570 | 2019-03-18 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on CARLA R 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.