Anthony Davis

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

895 Blue Hill Ave
Boston, MA 02124-2902

Phone

(617) 506-8188

Fax

(617) 506-5039

NPI assigned

Mar 31, 2016

Last updated

Apr 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1144683814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 BLUE HILL AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021242902",
            "telephone_number": "617-506-8188",
            "fax_number": "617-506-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 BLUE HILL AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021242902",
            "telephone_number": "617-506-8188",
            "fax_number": "617-506-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Frederick Davis
• Alexis Hinchey Davis, LICSW
• Allison Cerise Davis, LICSW
• Alvin E Davis, M.D.
• Amanda K. Davis, MD
• Aryia Telpha Davis
• Benjamin T Davis, MD
• Beryl Jean Davis, RN
• Carmon J Davis, MD
• Catherine C Davis, M.D.

• Early Intervention Provider Agency in Boston, MA
• Providers in Boston, MA by specialty
• Early Intervention Provider Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.