Jodie Davidson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA18224 Issued in FL

Practice address

1411 NW 14TH Ave
Miami, FL 33125-1616

Phone

(305) 325-1080

Fax

(305) 325-1044

NPI assigned

Sep 8, 2016

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• United Cerebral Palsy Association of Miami, Inc.

  • Early Intervention Provider Agency
  • Miami, FL
  • NPI 1689269938

  Speech-Language Pathologist

  NPD (past)
• United Cerebral Palsy Association of Miami, Inc.

  • Contractor
  • Miami, FL
  • NPI 1730057647
  NPD (past)

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1154878932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 ADAMS AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 NW 14TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251616",
            "telephone_number": "305-325-1080",
            "fax_number": "305-325-1044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 NW 159th Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331695808",
            "country_code": "US",
            "telephone_number": "305-623-4438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4525 Adams Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331402931",
            "country_code": "US",
            "telephone_number": "305-978-2428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JODIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA18224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109845500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116250400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Davide
• Todd Davidman, D.C.
• Isaac Zev Davidovich, MD
• Beatriz Davidson, DMD
• Elyad M Davidson, MD
• Malaika Ribas Davidson, DMD
• Philip Davidson, DMD
• Bethany Davies
• Christine Scourfield Davies, RPT
• Paul John Davies, CRNA

• Speech-Language Pathologist in Miami, FL
• Providers in Miami, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.