KRYSTAL LATOYIA DAVIS (NPI# 1982178083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982178083 |
| Entity Type | Individual |
| Full Name | KRYSTAL LATOYIA DAVIS |
| Practice Address |
1709 Moon St Ne Albuquerque NM 87112-3935 |
| Practice Telephone | 5052710329 |
| Practice Fax Number | 5052714957 |
| Mailing Telephone | 5052710329 |
| Mailing Fax Number | 5052714957 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | NM | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780913202 | Krystal Rae Davis | Chiropractor | 1919 E Main St Ste 1, Little Chute, WI 54140-2457 | 2009-12-11 |
| 1316570138 | Krystal Leigh Davis | Speech-Language Pathologist | 205 South St E, Talladega, AL 35160-2411 | 2020-02-20 |
| 1154812212 | Krystal Davis | Registered Nurse | 3605 Ne Loop 286 Ste 200, Paris, TX 75460-5091 | 2018-05-24 |
| 1215285085 | Krystal Ashley Davis | Marriage & Family Therapist | 1210 Sw 136th St, Burien, WA 98166-1214 | 2012-08-27 |
| 1548520794 | Krystal Danielle Davis | Counselor | 1836 Fremont St, Ashland, OR 97520-2537 | 2012-05-22 |
| 1679850713 | Krystal Mason Davis | Social Worker | 10 Peterboro, 3rd Floor Housing, Detroit, MI 48201 | 2011-11-03 |
| 1730374174 | Krystal Davis | Physical Therapy Assistant | 206 Maryland Ave, Mccomb, MS 39648 | 2007-09-10 |
| Street Address |
1709 MOON ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-3935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902865165 | Shawn Proudfoot | Social Worker | 1709 Moon St Ne, Albuquerque, NM 87112-3935 | 2006-03-17 |
| 1285234724 | Gina Marie Storch | Social Worker | 1709 Moon St Ne, Albuquerque, NM 87112-3935 | 2020-10-26 |
| 1306453808 | Clarissa J Gallegos | Counselor | 1709 Moon St Ne, Albuquerque, NM 87112-3935 | 2020-09-28 |
| 1043820970 | Delette Lyn Ford | Counselor | 1709 Moon St Ne, Albuquerque, NM 87112-3935 | 2020-08-05 |
| 1679182844 | Breanna Nichole Corbitt | Counselor | 1709 Moon St Ne, Albuquerque, NM 87112-3935 | 2020-07-23 |
| 1811505290 | Tanya Jean Marthaller-duran | Counselor | 1709 Moon St Ne, Albuquerque, NM 87112-3935 | 2020-07-21 |
| 1861010605 | Lorah Elizabeth Plante | Social Worker | 1709 Moon St Ne, Albuquerque, NM 87112-3935 | 2020-07-08 |
| 1629692819 | Tarra Kae-abeyta Toledo | Counselor | 1709 Moon St Ne, Albuquerque, NM 87112-3935 | 2020-06-03 |
| 1962035980 | Daniel C Chavez | Counselor | 1709 Moon St Ne, Albuquerque, NM 87112-3935 | 2020-02-18 |
| 1649800756 | Maria Del Carmen Morales | Counselor | 1709 Moon St Ne, Albuquerque, NM 87112-3935 | 2020-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847985 | Selinda Turner | Case Manager/Care Coordinator | 3620 Wyoming Blvd Ne Ste 102d, Albuquerque, NM 87111-3286 | 2020-10-06 |
| 1205452943 | Channda Bernadette Mitchell | Case Manager/Care Coordinator | 2301 Yale Blvd Se Ste F, Albuquerque, NM 87106-4228 | 2020-06-18 |
| 1346882909 | Jaineen Burkettsims | Case Manager/Care Coordinator | 11005 Spain Rd Ne Ste 22, Albuquerque, NM 87111-1871 | 2019-10-15 |
| 1285282715 | Aiden Charles Martinez | Case Manager/Care Coordinator | 6704 Nueva Pierda Street Nw, Albuquerque, NM 87120 | 2019-08-28 |
| 1023662947 | Tracy Lynn Nichols | Case Manager/Care Coordinator | 2329 Griffin Rd Sw, Albuquerque, NM 87105-7026 | 2019-07-29 |
| 1629632930 | Kassandra Lucero | Case Manager/Care Coordinator | 4118 Central Ave Se, Albuquerque, NM 87108-1177 | 2019-04-23 |
| 1740708809 | 11.11, LLC | Case Manager/Care Coordinator | 11724 Copper Pl Ne, Albuquerque, NM 87123 | 2017-09-08 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1245769512 | Danielle White | Case Manager/Care Coordinator | 801 Encino Pl Ne Ste E1, Albuquerque, NM 87102-2645 | 2017-06-08 |
| 1447784079 | Jess Fulton | Case Manager/Care Coordinator | 720 Vassar Dr Ne, Albuquerque, NM 87106-2724 | 2017-04-20 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87112 |
Please comment or provide details below to improve the information on KRYSTAL LATOYIA 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.