Tatyana Janae Davis

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

12 Platinum CT
Medford, NY 11763-2247

Phone

(631) 868-3577

NPI assigned

Apr 24, 2026

Last updated

Aug 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Little Angels Center, Inc

  • Speech-Language Pathologist
  • Medford, NY
  • NPI 1588719041
  NPD (past)
• Speak Your Legacy Inc.

  • Speech-Language Pathologist
  • Lindenhurst, NY
  • NPI 1326766684
  NPD (past)
• Speak Your Legacy Inc.

  • Early Intervention Provider Agency
  • Lindenhurst, NY
  • NPI 1447948120
  NPD (past)

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

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1164368007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 BLUE POINT AVE",
            "city": "BLUE POINT",
            "state": "NY",
            "postal_code": "117151261",
            "telephone_number": "631-260-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PLATINUM CT",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632247",
            "telephone_number": "631-868-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TATYANA",
        "middle_name": "JANAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Daly, MA
• Tracey Marie Damrau, LCSW
• Mark E Daniels, DMD
• Aleshia Darcel Davis, LPN
• Leondra Davis, LPN
• Davita of New York Inc (Medford Kidney Center)
• DC Transporters Inc
• Heather Decarlo, LPN
• Marie Deguerre
• Amy Delgado, LMHC

• Student in an Organized Health Care Education/Training Program in Medford, NY
• Providers in Medford, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.