MR. NATHAN VICTOR DAVIS (NPI# 1922588094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922588094 |
Entity Type | Individual |
Full Name | MR. NATHAN VICTOR DAVIS |
Credential | MSW, LSWAIC, CDPT |
Practice Address |
8514 W Gage Blvd Ste G Kennewick WA 99336-8108 |
Mailing Address |
500 N Morain St Ste 1250 Kennewick WA 99336-2967 |
Practice Telephone | 5092221275 |
Practice Fax Number | 5094913031 |
Mailing Telephone | 5097830500 |
Mailing Fax Number | 5097839129 |
Enumeration Date | 2018-08-17 |
Last Update Date | 2020-10-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60889540 | WA | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 1041C0700X |
Social Worker Specialization: Clinical |
SC60633484 | WA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033563192 | Nathan Grant Davis | Emergency Medicine | Wake Forest Baptist Health- Wilkes Medical Center, 1370 W D St, North Wilkesboro, NC 28659 | 2016-04-14 |
1821459058 | Nathan Davis | Counselor | 34 Dusty Ln, Grove City, PA 16127-6408 | 2016-03-16 |
1740683366 | Nathan Lloyd Davis | Physical Therapist | 725 W Granada Blvd Ste 22, Ormond Beach, FL 32174-9406 | 2014-09-28 |
1912436510 | Nathan James Davis | Student in an Organized Health Care Education/Training Program | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2017-06-07 |
1376085092 | Nathan B Davis | Behavioral Analyst | 5800 S Highland Dr, Salt Lake City, UT 84121-1359 | 2016-11-11 |
1063960250 | Nathan Davis | Marriage & Family Therapist | 970 Circle Dr, Salinas, CA 93905-2150 | 2016-09-15 |
1376990564 | Nathan Michael Davis | Family Medicine | 809 Elmhurst Blvd, Salina, KS 67401-7428 | 2016-05-18 |
1063844066 | Nathan Logan Davis | Pharmacist | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2013-08-01 |
1003255548 | Nathan Chadwick Davis | Neurological Surgery | 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 | 2013-06-18 |
1164788972 | Nathan Davis | Anesthesiology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2012-04-05 |
Street Address |
8514 W GAGE BLVD STE G |
City | KENNEWICK |
State | WA |
Zip Code | 99336-8108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417179243 | Penny S Bell | Counselor | 8514 W Gage Blvd Ste G, Kennewick, WA 99336 | 2007-05-02 |
1053947507 | Lisa Gail Dixon | Counselor | 8514 W Gage Blvd Ste G, Kennewick, WA 99336-8108 | 2020-03-17 |
1912532557 | Kathryne Shevie Keel | Peer Specialist | 8514 W Gage Blvd Ste G, Kennewick, WA 99336-8108 | 2020-03-04 |
1073145603 | Rebeca Galvez | Peer Specialist | 8514 W Gage Blvd Ste G, Kennewick, WA 99336-8108 | 2020-02-11 |
1639730559 | Viktoriya Robertovna Broyan | Counselor | 8514 W Gage Blvd Ste G, Kennewick, WA 99336-8108 | 2019-06-21 |
1285148684 | Ideal Telemedicine Services, LLC | Clinic/Center | 8514 W Gage Blvd Ste G, Kennewick, WA 99336-8108 | 2017-11-21 |
1316306012 | Nakia Becerra | Counselor | 8514 W Gage Blvd Ste G, Kennewick, WA 99336-8108 | 2016-02-23 |
1578922274 | Jose A Carrillo | Counselor | 8514 W Gage Blvd Ste G, Kennewick, WA 99336 | 2016-02-23 |
1427470434 | Sarah Ean Saenz | Counselor | 8514 W Gage Blvd Ste G, Kennewick, WA 99336-8108 | 2014-01-09 |
1013343474 | Ideal Balance Pllc | Case Management | 8514 W Gage Blvd Ste G, Kennewick, WA 99336-8108 | 2013-09-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
Find all providers in zip 99336 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679193304 | Yesica Rosas | Counselor | 8927 W Tucannon Ave Ste 107, Kennewick, WA 99336-7176 | 2020-04-22 |
1669019899 | Lydia Nicole Bowerly | Counselor | 8905 W Gage Blvd Ste 208, Kennewick, WA 99336-7191 | 2019-12-06 |
1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
1487148680 | Tri-cities Regenerative Institute | Counselor | 8905 W Gage Blvd Ste 100, Kennewick, WA 99336-7191 | 2018-06-20 |
1124531488 | Ashleigh Mae Zoerb | Counselor | 4906 W 4th Ave, Kennewick, WA 99336-4168 | 2017-11-08 |
1881121267 | Valerie F Kirk | Counselor | 3801 S Zintel Way Ste A120, Kennewick, WA 99337-5097 | 2017-05-17 |
1750820122 | Luis Madrigal | Counselor | 2628 W Bruneau Pl Ste 110, Kennewick, WA 99336-3134 | 2017-02-18 |
1912444308 | Cassandra Mendez | Counselor | 2112 S Rainier St Apt 130, Kennewick, WA 99337-3635 | 2017-01-24 |
1871037994 | Timothy Mc Kee Dolph | Counselor | 500 N. Morain St. Ste. 1250, Kennewick, WA 99336 | 2016-12-08 |
1902254139 | Robert Bishop | Counselor | 1203 W 21st Ave, Kennewick, WA 99337-4216 | 2016-05-27 |
Find all providers in KENNEWICK |
Please comment or provide details below to improve the information on MR. NATHAN VICTOR 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.