Active NPI
Brandy Letoy Davidson, LMFT
- Marriage & Family Therapist
- Tampa, FL
National Provider Identifier
1013660265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT3479
- Practice address
- 9513 Delaney Creek Blvd Apt 114
Tampa, FL 33619-5180 - Phone
- (813) 466-4275
- NPI assigned
- Jan 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT3479 | FL | Primary |
Addresses
Primary practice location
9513 Delaney Creek Blvd Apt 114
Tampa, FL 33619-5180
Mailing address
9513 Delaney Creek Blvd Apt 114
Tampa, FL 33619-5180
Phone (813) 466-4275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- TX HMO D-SNP
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
- TX HMO
- FL HMO C-SNP
- FL HMO
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1013660265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9513 DELANEY CREEK BLVD APT 114",
"city": "TAMPA",
"state": "FL",
"postal_code": "336195180",
"telephone_number": "813-466-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9513 DELANEY CREEK BLVD APT 114",
"city": "TAMPA",
"state": "FL",
"postal_code": "336195180",
"telephone_number": "813-466-4275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "BRANDY",
"middle_name": "LETOY",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT3479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.