Annie Davidson Purcell, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

20A10303 Issued in CA

Practice address

1945 Shasta St
Redding, CA 96001-0443

Phone

(530) 244-4608

Fax

(530) 247-1096

NPI assigned

Aug 27, 2007

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

Other identifiers 1

Other names 1

• Annie Davidson Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

• Redding Spine and Sports Medicine, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Redding, CA
  • NPI 1356578959
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401062400000",
    "number": "1013100742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 992316",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960992316",
            "telephone_number": "530-244-4608",
            "fax_number": "530-247-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 SHASTA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010443",
            "telephone_number": "530-244-4608",
            "fax_number": "530-247-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "ANNIE",
        "middle_name": "DAVIDSON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2014-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A10303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ58464Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "DAVIDSON",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Payson Puckett
• Cedric Leon Pugh
• David Russell Pugh, DDS
• Rachel Puleo-Chankin
• Pulmedica Inc
• Joseph Patrick Purcell, D.O.
• Ma Theresa Lourdes Arzaga Purino, COTA/L
• Linda Pywell, PA-C
• Zahra Qaiyumi, MD
• Quail Crest Redding 1, LLC

• Physical Medicine & Rehabilitation Physician in Redding, CA
• Providers in Redding, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.