Individual provider Active NPI

Cristy Catherine Davis, M.S, CCC-SLP

  • Speech-Language Pathologist
  • Clearfield, PA
National Provider Identifier
1053853721
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL013883 Issued in PA
Practice address
700 Leonard St
Clearfield, PA 16830-3245
Phone
(814) 765-7546
NPI assigned
Nov 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL013883 PA Primary

Addresses

Primary practice location

700 Leonard St
Clearfield, PA 16830-3245

Mailing address

700 Leonard St
Clearfield, PA 16830-3245
Phone (814) 765-7546

Other practice location 1

429 Manor Dr
Ebensburg, PA 15931
Phone (814) 472-6060

Other practice location 2

700 Leonard St
Clearfield, PA 16830-3245
Phone (814) 765-7546

Other names 1

  • Miss Cristy Catherine Cook Professional name

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
Master of Science

State licenses

LicenseStateTypeSpecialty
SL013883PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1478995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1053853721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LEONARD ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168303245",
            "telephone_number": "814-765-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LEONARD ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168303245",
            "telephone_number": "814-765-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 Manor Dr",
            "address_purpose": "LOCATION",
            "city": "Ebensburg",
            "state": "PA",
            "postal_code": "15931",
            "country_code": "US",
            "telephone_number": "814-472-6060",
            "fax_number": "814-472-1293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Leonard St",
            "address_purpose": "LOCATION",
            "city": "Clearfield",
            "state": "PA",
            "postal_code": "168303245",
            "country_code": "US",
            "telephone_number": "814-765-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CRISTY",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "M.S, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-13",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL013883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTY",
            "last_name": "COOK",
            "middle_name": "CATHERINE",
            "prefix": "MISS",
            "credential": "M.S, CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Clearfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.