Individual provider Active NPI

Tonia Davis, PHD, CCC-SLP

  • Speech-Language Pathologist
  • Sacramento, CA
National Provider Identifier
1093107294
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
25987 Issued in CA
Practice address
6000 J St
Sacramento, CA 95819-6000
Phone
(615) 278-6679
NPI assigned
Feb 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 25987 CA Primary

Addresses

Primary practice location

6000 J St
Sacramento, CA 95819-6000

Mailing address

3622 Gold Creek LN
Sacramento, CA 95827-3754
Phone (919) 412-2423

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tonia.davis@csus.edu Direct California State University, Sacramento
Direct Messaging Address tonia.davis@csus.edu Direct California State University, Sacramento

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
25987CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
California State University, Sacramento 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": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1093107294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 GOLD CREEK LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958273754",
            "telephone_number": "919-412-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958196000",
            "telephone_number": "615-278-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TONIA",
        "name_prefix": "Dr.",
        "credential": "PHD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "25987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tonia.davis@csus.edu",
            "affiliation": "Y",
            "endpointDescription": "Email - not HIPAA compliant.  Please email for HIPAA compliant messaging.",
            "affiliationName": "California State University, Sacramento",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email - not HIPAA compliant.  Please email for HIPAA compliant messaging.",
            "address_1": "6000 J St Fl 1",
            "address_2": "The WELL",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958192605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tonia.davis@csus.edu",
            "affiliation": "Y",
            "endpointDescription": "Email - not HIPAA compliant. Please email for HIPAA compliant messaging.",
            "affiliationName": "California State University, Sacramento",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email - not HIPAA compliant. Please email for HIPAA compliant messaging.",
            "address_1": "6000 J St",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958196000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.