Individual provider Active NPI

Sherrie Latrice Davis, CCC--SLP

  • Speech-Language Pathologist
  • Chattanooga, TN
National Provider Identifier
1104395748
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0000002990 Issued in TN
Practice address
3074 Hickory Valley Rd
Chattanooga, TN 37421-1273
Phone
(423) 498-7020
NPI assigned
Nov 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP010302 GA
Speech-Language Pathologist 235Z00000X SA16603 FL
Speech-Language Pathologist 235Z00000X 0000002990 TN Primary

Addresses

Primary practice location

3074 Hickory Valley Rd
Chattanooga, TN 37421-1273

Mailing address

6623 Sawtooth Dr
Ooltewah, TN 37363-5865
Phone (859) 552-1053

Other practice location 1

775 Sunset Dr
Athens, GA 30606-2211
Phone (706) 425-1500

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

State licenses

LicenseStateTypeSpecialty
SA16603FLMDSpeech-Language Pathologist
SLP010302GAMDSpeech-Language Pathologist
0000002990TNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1104395748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6623 SAWTOOTH DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635865",
            "telephone_number": "859-552-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 HICKORY VALLEY RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211273",
            "telephone_number": "423-498-7020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062211",
            "country_code": "US",
            "telephone_number": "706-425-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHERRIE",
        "middle_name": "LATRICE",
        "name_prefix": "Ms.",
        "credential": "CCC--SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010302",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16603",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000002990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.