Individual provider Active NPI

Rodneisha Chanelle Davis, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Beltsville, MD
National Provider Identifier
1184163446
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
08247 Issued in MD
Practice address
10482 Baltimore Ave Ste 215
Beltsville, MD 20705-2321
Phone
(628) 233-2311
Fax
(628) 233-2311
NPI assigned
Feb 20, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 08247 MD Primary

Addresses

Primary practice location

10482 Baltimore Ave Ste 215
Beltsville, MD 20705-2321

Mailing address

10482 Baltimore Ave Ste 215
Beltsville, MD 20705-2321
Phone (628) 233-2311

Other practice location 1

1701 E West Hwy Apt G14
Silver Spring, MD 20910-3072
Phone (415) 481-3431

Other practice location 2

4421 Romlon St
Apt 201
Beltsville, MD 20705-2430
Phone (510) 326-7078

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
08247MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Multicultural Rehab, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1184163446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10482 BALTIMORE AVE STE 215",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052321",
            "telephone_number": "628-233-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10482 BALTIMORE AVE STE 215",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052321",
            "telephone_number": "628-233-2311",
            "fax_number": "628-233-2311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 E West Hwy Apt G14",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209103072",
            "country_code": "US",
            "telephone_number": "415-481-3431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4421 Romlon St",
            "address_2": "Apt 201",
            "address_purpose": "LOCATION",
            "city": "Beltsville",
            "state": "MD",
            "postal_code": "207052430",
            "country_code": "US",
            "telephone_number": "510-326-7078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RODNEISHA",
        "middle_name": "CHANELLE",
        "name_prefix": "Miss",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "08247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.