Shaundell Marcia Davis-Thomas, MSED

Primary specialty

SpecialistTaxonomy code 174400000X

License

475951309 Issued in NY

Practice address

543 Main St Apt 414
New Rochelle, NY 10801-7265

Phone

(914) 632-1388

NPI assigned

Jun 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Early Intervention Specialist

  • Early Intervention Provider Agency
  • New Rochelle, NY
  • NPI 1780084673
  NPD (past) Authorized official

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1184986903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 MAIN ST APT 414",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017265",
            "telephone_number": "914-632-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 MAIN ST APT 414",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017265",
            "telephone_number": "914-632-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-THOMAS",
        "first_name": "SHAUNDELL",
        "middle_name": "MARCIA",
        "name_prefix": "Mrs.",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "475951309",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "475951309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hirendra J Dave, MD
• Sandra Marie Dave, FNPC
• Davenport Medical Care, P.C.
• David M Lans DO PC
• Zina David
• Briasia Renee Davis I, RN
• Eraina Ricks Davis, SPECIAL EDUCATOR
• Gerald Davis, CASACT
• Kellye Davis, RYT
• Monique Davis

• Specialist in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.