Active NPI
Tonia Davis, PHD, CCC-SLP
- Speech-Language Pathologist
- Sacramento, CA
National Provider Identifier
1093107294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 25987
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25987 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinic Pharmacy
- Sacramento, CA
- NPI 1972524924
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.