NPIMap

Organization Active NPI

Diane Davis PA

  • Speech-Language Pathologist
  • New Port Richey, FL
National Provider Identifier
1073654547
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA5926 Issued in FL
Legal business name
DIANE DAVIS PA
Practice address
8050 Old CR 54
New Port Richey, FL 34653-6457
Phone
(727) 375-0600
Fax
(727) 375-1117
NPI assigned
Feb 9, 2007
Last updated
Apr 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Diane Davis, MS CCC SLPNPI 1952441149
Title
Owner
Phone
(727) 375-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA5926 FL Primary

Addresses

Primary practice location

8050 Old CR 54
New Port Richey, FL 34653-6457

Mailing address

8050 Old CR 54
New Port Richey, FL 34653-6457
Phone (727) 375-0600

Other identifiers 7

IdentifierTypeStateIssuer
10647201OtherFLCITRUS NPR GROUP
282700OtherFLAVMED
S1760OtherFLBCBS
10647202OtherFLCITRUS SH GROUP
704024OtherFLACN GROUP
215753OtherFLAMERIGROUP
885702400MedicaidFL

National Provider Directory

National Provider Directory

Locations

8050 Old County Road 54
New Port Richey, FL 34653
Phone (727) 375-0600

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1073654547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 OLD CR 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536457",
            "telephone_number": "727-375-0600",
            "fax_number": "727-375-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 OLD CR 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536457",
            "telephone_number": "727-375-0600",
            "fax_number": "727-375-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE DAVIS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-375-0600",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS NPR GROUP",
            "identifier": "10647201",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "282700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "S1760",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS SH GROUP",
            "identifier": "10647202",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "704024",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "215753",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "885702400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.