Individual provider Active NPI

Megan Elizabeth Dunn Davison, PHD

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1073634382
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4877 Issued in NM
Practice address
1700 Lomas Blvd NE Ste 1300
Albuquerque, NM 87106-3835
Phone
(505) 277-4453
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL008618 PA
Speech-Language Pathologist 235Z00000X 4877 NM Primary

Addresses

Primary practice location

1700 Lomas Blvd NE Ste 1300
Albuquerque, NM 87106-3835

Mailing address

1700 Lomas Blvd NE Ste 1300
Albuquerque, NM 87106-3835
Phone (505) 277-4453

Other identifiers 1

IdentifierTypeStateIssuer
1017299900001MedicaidPA

Other names 1

  • Megan Elizabeth Dunn Former 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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4877NMMDPhysical Therapist
SL008618PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Speech & Hearing Sciences Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1073634382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 LOMAS BLVD NE STE 1300",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063835",
            "telephone_number": "505-277-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 LOMAS BLVD NE STE 1300",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063835",
            "telephone_number": "505-277-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN DAVISON",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008618",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "4877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017299900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "DUNN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.