Kellie Anne Davidson, AU.D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

A-192 Issued in NV

Practice address

2920 N Green Valley Pkwy
BLDG 3 Suite 321
Henderson, NV 89014-0406

Phone

(702) 990-0921

Fax

(702) 990-0922

NPI assigned

Feb 5, 2008

Last updated

Feb 5, 2008By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Northland Hearing Centers, Inc.

  dba SoundPoint Audiology

  • Audiologist-Hearing Aid Fitter
  • Las Vegas, NV
  • NPI 1407137581
  NPD (past)
• Soundpoint Audiology & Hearing Services LLC

  • Audiologist
  • Clackamas, OR
  • NPI 1003851783
  NPD (past)

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1013195692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N GREEN VALLEY PKWY",
            "address_2": "BLDG 3 SUITE 321",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140406",
            "telephone_number": "702-990-0921",
            "fax_number": "702-990-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N GREEN VALLEY PKWY",
            "address_2": "BLDG 3 SUITE 321",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140406",
            "telephone_number": "702-990-0921",
            "fax_number": "702-990-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "KELLIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NV",
            "license": "A-192",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NV",
            "license": "192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David T Chan MD Professional Corporation
• Roxanne Denise David, DMD
• James R Davidson, MD
• Jennifer Lynn Davidson, MA
• Joel I. Davidson, MD
• Lauren Davidson
• Marisa Davidson
• Cyanea Davies, LAT, ATC
• Josefina Davila Lopez
• Rebecca Davila, HHP

• Audiologist-Hearing Aid Fitter in Henderson, NV
• Providers in Henderson, NV by specialty
• Audiologist-Hearing Aid Fitter in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.