Al Zachery Davis III

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1323 Yakima Ave
Tacoma, WA 98405-4457

Phone

(253) 502-2696

Fax

(253) 502-2757

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1215065008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7967 RENTON AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981184433",
            "telephone_number": "206-954-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 YAKIMA AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054457",
            "telephone_number": "253-502-2696",
            "fax_number": "253-502-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AL",
        "middle_name": "ZACHERY",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "911585652",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula M Davidson, MA: 60885969
• Thomas Davidson
• Alyce June Davie, AGENCY AFFILIATED CO
• Davis Dental Group
• Adrian Davis, PMHNP
• Alia Davis, PA
• Amari Milan Davis
• Angela Marie Davis
• Annagreta Bowen Davis
• Bruce Wayne Davis

• Mental Health Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.