Active NPI
Cynthia Dawn Davoudabadi
- Driver
- Sandston, VA
National Provider Identifier
1154981843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- T65431121
- Practice address
- 308 Casey St
Sandston, VA 23150-2156 - Phone
- (804) 939-2816
- Fax
- (804) 328-2162
- NPI assigned
- Jun 16, 2019
- Last updated
- Jun 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | T65431121 | VA | Primary |
Addresses
Primary practice location
308 Casey St
Sandston, VA 23150-2156
Mailing address
308 Casey St
Sandston, VA 23150-2156
Phone (804) 939-2816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T65431121 | VA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560643200000",
"number": "1154981843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 CASEY ST",
"city": "SANDSTON",
"state": "VA",
"postal_code": "231502156",
"telephone_number": "804-939-2816",
"fax_number": "804-328-2162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 CASEY ST",
"city": "SANDSTON",
"state": "VA",
"postal_code": "231502156",
"telephone_number": "804-939-2816",
"fax_number": "804-328-2162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVOUDABADI",
"first_name": "CYNTHIA",
"middle_name": "DAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-16",
"last_updated": "2019-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "VA",
"license": "T65431121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.