Cindy Lee Davis, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043066652 Issued in IL

Practice address

607 4TH St
Eldorado, IL 62930-1278

Phone

(618) 273-2951

Fax

(618) 273-2712

NPI assigned

Feb 11, 2011

Last updated

Feb 11, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christopher Greater Area Rural Health Planning Corporation

  dba Mt. Vernon Health & Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, IL
  • NPI 1083592604
  NPD (past)

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1134426018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "628220155",
            "telephone_number": "618-724-2436",
            "fax_number": "618-724-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 4TH ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629301278",
            "telephone_number": "618-273-2951",
            "fax_number": "618-273-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CINDY",
        "middle_name": "LEE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043066652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Cummins, RN
• Darah Cummins, FNP
• Matthew P Datzman, MD
• Cretia Dauby, RN-BC, QMHP
• William Davenport
• Deaconess Illinois Specialty Clinic, Inc.
• Deaconess Specialty Physicians
• Deaconess Vna Plus, LLC
• Deaconess Vna Plus, LLC
• Laura Devous, FNP

• Licensed Practical Nurse in Eldorado, IL
• Providers in Eldorado, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.