Rachel Collazo Davis, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4119 Issued in AL

Practice address

103 Intercom Dr
Suite C
Madison, AL 35758-2640

Phone

(256) 464-9464

Fax

(256) 325-9469

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Madison Speech Associates, Inc

  • Speech-Language Pathologist
  • Madison, AL
  • NPI 1942400387
  NPD (past)
• Madison Speech LLC

  • Speech-Language Pathologist
  • Madison, AL
  • NPI 1336773738
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1063948859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 INTERCOM DR",
            "address_2": "SUITE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582640",
            "telephone_number": "256-464-9464",
            "fax_number": "256-325-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 INTERCOM DR",
            "address_2": "SUITE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582640",
            "telephone_number": "256-464-9464",
            "fax_number": "256-325-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RACHEL",
        "middle_name": "COLLAZO",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "4119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Prior Daugherty, DMD
• David H. Morgan, M.D.
• David P Bruce DMD
• Nicosia Davis, LMSW
• Paige Davis, CD
• Ryan Walsh Davis, D.C.
• Tonya Davis, L.P.C.
• Dawn B Mancuso, MD, LLC
• Dba Kasey West
• Deborah Booher Kolb, M.D., P.C.

• All providers in Madison, AL
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.