Edith Davis-Fletcher

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA170996 Issued in OH

Practice address

2400 Greenvale Rd
Cleveland, OH 44121-1116

Phone

(216) 254-5793

NPI assigned

Nov 7, 2019

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1154966745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 GREENVALE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441211116",
            "telephone_number": "216-254-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 GREENVALE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441211116",
            "telephone_number": "216-254-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-FLETCHER",
        "first_name": "EDITH",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA170996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170996",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Alexandra Davin, PSY.D.
• Angela Patrice Davis Cameron
• Davis Comfort Care LLC
• Andrew Anthony Davis-Bey, CDCA
• Cressida C Davis-Dansby, QMHS
• Jerome Davis-Gayle
• Kesha Davis-Hendrix
• Ajuah O Davis, MD
• Alan W Davis, MD
• Alfred H Davis III, PA-C

• Addiction (Substance Use Disorder) Counselor in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.