Active NPI
Chyanne Davidson, BS
- Case Manager/Care Coordinator
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2701 International LN Ste 201
Madison, WI 53704-3126 - Phone
- (608) 719-0170
- Fax
- (608) 285-5646
- NPI assigned
- Jan 5, 2021
- Last updated
- Sep 18, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
2701 International LN Ste 201
Madison, WI 53704-3126
Mailing address
2701 International LN Ste 201
Madison, WI 53704-3126
Phone (608) 709-7464
Other practice location 1
815 Forward Dr
Madison, WI 53711
Phone (608) 268-6530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesis Center for Marriage and Family Therapy | Current | Accepting new patients | |
| Anesis Foundation for Mental Health Inc. | Current | Accepting new patients | |
| KGH Consultation & Treatment, Inc. | Behavior Technician | Past | Accepting new patients |
Locations
2701 International Ln
Ste 201
Madison, WI 53704
Phone (608) 268-6530
815 Forward Dr
Madison, WI 53711
Phone (608) 268-6530
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1720586761
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1750255162
-
dba KGH Autism Services
- Behavior Analyst
- Deerfield, IL
- NPI 1073840740
Behavior Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1033707104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 INTERNATIONAL LN STE 201",
"city": "MADISON",
"state": "WI",
"postal_code": "537043126",
"telephone_number": "608-709-7464",
"fax_number": "608-285-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 INTERNATIONAL LN STE 201",
"city": "MADISON",
"state": "WI",
"postal_code": "537043126",
"telephone_number": "608-719-0170",
"fax_number": "608-285-5646"
}
],
"practiceLocations": [
{
"address_1": "815 Forward Dr",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "53711",
"country_code": "US",
"telephone_number": "608-268-6530",
"fax_number": "608-709-1744",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIDSON",
"first_name": "CHYANNE",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-05",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.