Kimberlee Ann Davis

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1625 E 91St PL
Chicago, IL 60617-3502

Phone

(773) 221-3664

Fax

(773) 374-0789

NPI assigned

Dec 17, 2007

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

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": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1184807802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E 91ST PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173502",
            "telephone_number": "773-221-3664",
            "fax_number": "773-374-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E 91ST PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173502",
            "telephone_number": "773-221-3664",
            "fax_number": "773-374-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KIMBERLEE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keitha Davis, APRN, FNP-BC, FPA
• Kelly Ann Davis, M.D.
• Kemani Ann Lashae Davis
• Kenneth P Davis
• Kevin Davis, B.S.
• Kimberly D Davis, APN
• Kristee Davis
• Latosha Davis
• Latoya Denise Davis
• Laura Michelle Davis

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.