Basil Ashley Davis, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL009907 Issued in PA

Practice address

383 Rolling Ridge Dr
State College, PA 16801-7679

Phone

(814) 689-1911

NPI assigned

Feb 15, 2012

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)

Enrolled

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1114290509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8850 OLD ERIE PIKE",
            "city": "WEST DECATUR",
            "state": "PA",
            "postal_code": "168788739",
            "telephone_number": "814-765-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 ROLLING RIDGE DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017679",
            "telephone_number": "814-689-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BASIL",
        "middle_name": "ASHLEY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Pearce Dauler, M.D.
• David C Zeigler, MD PC
• Lauren B Davidson, CRNP
• Matthew D Davidson, DO
• Davis Chiropractic LLC
• Jay D Davis, FNP-C
• Jennifer Davis, CCC-SLP
• Suzanne Davis, D.C.
• Mark Ellison Davison, DPM
• Kaitlin Davitt

• Speech-Language Pathologist in State College, PA
• Providers in State College, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.