Sydney Joyce Davis, PEER SPECIALIST, NOT

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

3400 N. 29TH Avenue
Hollywood, FL 33020

Phone

(954) 276-3448

Fax

(954) 965-6444

NPI assigned

Mar 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Sydney Davis Riley Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1073019055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 N. 29TH AVENUE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33020",
            "telephone_number": "954-276-3448",
            "fax_number": "954-965-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 N. 29TH AVENUE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33020",
            "telephone_number": "954-276-3448",
            "fax_number": "954-965-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SYDNEY",
        "middle_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "PEER SPECIALIST, NOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "RILEY",
            "middle_name": "DAVIS",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brandon Davis, MD
• Christina E Davis, PA-C
• Jean Davis, ARNP
• Karel J Davis
• Sheera Tzippora Davis
• T. Conswello Davis
• Andrey Davydov, LCSW
• Casey Jennifer Dawson, PH.D.
• Natalie Dayan, M.S., CCC-SLP
• Dayclinic Inc.

• Peer Specialist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Peer Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.