Edwina Annette Davies

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

101073854 Issued in CA

Practice address

1000 Loudoun Rd
Indian Trail, NC 28079-8478

Phone

(310) 762-2372

NPI assigned

Oct 19, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1023328481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LOUDOUN RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280798478",
            "telephone_number": "310-762-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LOUDOUN RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280798478",
            "telephone_number": "310-762-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "EDWINA",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "101073854",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "00026",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "0005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Patricia Cox, D.C.
• Creative Counseling and Consulting, LLC
• Dominick D'Auria, DPT
• Ashton Daniel
• Maitri Pareshkumar Dave, PT
• Holly Davis
• Gregory Cecil Deese
• Defi Trauma Therapy PLLC
• Jennifer Robin Degaray, D.C.
• Terry Alvin Devine Jr., PHARMD.

• Counseling Psychologist in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Counseling Psychologist in North Carolina

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