Active NPI
Frederick Bryant Davis, MD
- Psychiatry Physician
- Seattle, WA
National Provider Identifier
1205930294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 10139
- Practice address
- 7319 Latona Ave NE
Seattle, WA 98115 - Phone
- (206) 525-1898
- Fax
- (206) 729-0564
- NPI assigned
- Sep 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 10139 | WA | Primary |
Addresses
Primary practice location
7319 Latona Ave NE
Seattle, WA 98115
Mailing address
7319 Latona Ave NE
Seattle, WA 98115
Phone (206) 525-1898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1204700 | Medicaid | WA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10139 | WA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205930294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7319 LATONA AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98115",
"telephone_number": "206-525-1898",
"fax_number": "206-729-0564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7319 LATONA AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98115",
"telephone_number": "206-525-1898",
"fax_number": "206-729-0564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "FREDERICK",
"middle_name": "BRYANT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "10139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1204700",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.