Jeremy Davaloz

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

211-B Wayne St
Columbia, TN 38401-4526

Phone

(931) 560-3082

Fax

(931) 560-3072

NPI assigned

Sep 16, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jeremy Davaloz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1104159623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211- B WAYNE ST.",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014526",
            "telephone_number": "931-560-3082",
            "fax_number": "931-560-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211-B WAYNE ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014526",
            "telephone_number": "931-560-3082",
            "fax_number": "931-560-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVALOZ",
        "first_name": "JEREMY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEREMY",
            "last_name": "DAVALOZ",
            "prefix": "MR.",
            "credential": "B.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joy Damon
• Jacob Daniel, DO
• David A Daniels, MD
• Mary Renee Daniels, APMHNP-BC
• Clara Leach Darden, CMSW
• Rosemary E Davenport, N.P.
• David Heffington
• David K. Andrews, D.D.S. PLLC
• Kristi Davidson
• Randall L Davidson Jr., MD

• Case Manager/Care Coordinator in Columbia, TN
• Providers in Columbia, TN by specialty
• Case Manager/Care Coordinator in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.