MRS. JUDI CAROL DAVIDSON (NPI# 1962625855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962625855 |
| Entity Type | Individual |
| Full Name | MRS. JUDI CAROL DAVIDSON |
| Credential | CDM, CPM |
| Practice Address |
2650 Broadview Ave Wasilla AK 99654-8302 |
| Practice Telephone | 9073733420 |
| Practice Fax Number | 9073767847 |
| Mailing Telephone | 9073733420 |
| Mailing Fax Number | 9073767847 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175M00000X | Midwife, Lay | AA10 | AK | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | STATE LICENSE NUMBER | AA10 | 01 |
| AK | NM0010 | 05 |
| Street Address |
2650 BROADVIEW AVE |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-8302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629137799 | Mat-su Birth Center LLC | Midwife | 2650 Broadview Ave, Wasilla, AK 99654-8302 | 2006-12-06 |
| 1831394097 | Jackelyn Erwin | Midwife, Lay | 2650 Broadview Ave, Wasilla, AK 99654-8302 | 2007-06-18 |
| 1275696486 | Mat-su Midwifery Inc | Midwife | 2650 Broadview Ave, Wasilla, AK 99654-8302 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 175M00000X |
| Grouping | Other Service Providers |
| Classification | Midwife, Lay |
| A person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407249121 | Samantha Keller | Midwife, Lay | 2650 E Broadview Ave, Wasilla, AK 99654-8302 | 2015-03-05 |
| 1063605467 | Jessica W Sawyer | Midwife, Lay | 2650 E Broadview Ave, Wasilla, AK 99654-8302 | 2007-08-20 |
| 1831394097 | Jackelyn Erwin | Midwife, Lay | 2650 Broadview Ave, Wasilla, AK 99654-8302 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538651039 | Samantha Wilson Beard | Midwife, Lay | 526 W 19th Ave, Anchorage, AK 99503-1830 | 2018-05-31 |
| 1457711400 | Kayla Frank | Midwife, Lay | 11700 E Jenny Cir, Palmer, AK 99645-9358 | 2016-03-03 |
| 1124497748 | Tasha Gentile | Midwife, Lay | 203a Lighthouse Ave, Kodiak, AK 99615-6856 | 2015-09-24 |
| 1376726984 | Leshine C. Herfindahl | Midwife, Lay | 160 Danish Circle, Girdwood, AK 99587 | 2007-12-06 |
| 1558673897 | Woman's Way Homebirth Services | Midwife, Lay | 154 W Marydale Ave, Suite B, Soldotna, AK 99669-7501 | 2010-07-01 |
| 1376750992 | Tora J Gerrick | Midwife, Lay | 1108 E Northern Lights Blvd, Anchorage, AK 99508-4219 | 2007-05-16 |
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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.