Kindra Ann Davis, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4709 Issued in NM

Practice address

8 Calle Medico
Santa Fe, NM 87505-4724

Phone

(505) 424-8777

Fax

(505) 424-9777

NPI assigned

Mar 18, 2009

Sex

Female

Sole proprietor

Yes

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.

• Hendricks Functional Health, LLC

  dba Santa Fe Therapy Associates

  • Speech-Language Pathologist
  • Santa Fe, NM
  • NPI 1942958277
  NPD (past)
• Santa Fe Therapy Associates

  • Speech-Language Pathologist
  • Santa Fe, NM
  • NPI 1295900207
  NPD (past)

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1124269212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 VELASQUEZ RD",
            "city": "GLORIETA",
            "state": "NM",
            "postal_code": "875357054",
            "telephone_number": "505-757-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CALLE MEDICO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054724",
            "telephone_number": "505-424-8777",
            "fax_number": "505-424-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KINDRA",
        "middle_name": "ANN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "4709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve Anna Davis, MHC, MFT
• Jane Davis, LMSW
• Jefferson K Davis, M.D.
• Julia Christine Davis, PA.
• Kim C Davis, MS, CFY-SLP
• Martha Walter Davis, LPCC
• Phillip Roman Davis, PHARMD
• Tammy Davis
• Teresa Davis
• Wayne Davis

• Speech-Language Pathologist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.