Lori A Davis, MS,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S0729 Issued in MS

Practice address

169 Highway 6 E Ste 102
Oxford, MS 38655-6902

Phone

(662) 380-5030

Fax

(662) 297-7598

NPI assigned

Aug 29, 2018

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.

• North Ms Outpatient Therapy

  • Physical Therapist
  • Oxford, MS
  • NPI 1376946160

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1083196810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2459",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386556200",
            "telephone_number": "662-380-5030",
            "fax_number": "662-297-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 HIGHWAY 6 E STE 102",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386556902",
            "telephone_number": "662-380-5030",
            "fax_number": "662-297-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S0729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorlisa L. Davis, M.S.
• Eli Davis, MSW
• Gregory Acton Davis
• Harrison Reed Davis, MD
• Jonathan Edgar Davis, C.S.F.A.
• Lyndsie Nicole Davis, M.ED., LPC, CAT, NCC
• Mary Davis, PCMHT
• Zachary Ryan Davis, BS
• Dawkins Family Dental Clinic PA
• Ward Edwin Dawkins Jr., D.D.S.

• Speech-Language Pathologist in Oxford, MS
• Providers in Oxford, MS by specialty
• Speech-Language Pathologist in Mississippi

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