Active NPI
Juliana Brook Davis, TECHNICIAN
- Speech/Language/Hearing Specialist/Technologist
- Jacksonville, AR
National Provider Identifier
1235320235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech/Language/Hearing Specialist/Technologist
- Practice address
- 2227 W Main St
Ste 3
Jacksonville, AR 72076-4207 - Phone
- (501) 985-9944
- Fax
- (501) 985-6590
- NPI assigned
- Aug 5, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech/Language/Hearing Specialist/Technologist | 235500000X | Primary |
Addresses
Primary practice location
2227 W Main St
Ste 3
Jacksonville, AR 72076-4207
Mailing address
2227 W Main St
Ste 3
Jacksonville, AR 72076-4207
Phone (501) 985-9944
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146940002 | Medicaid | AR | |
| 5C724 | Other | AR | IDTF |
| 400522335 | Other | OK | MEDICARE ID |
| 400522327 | Other | OK | IDTF |
| 5C652 | Other | AR | MEDICARE ID |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Hearing Center LLC Xxiig | Past | Accepting new patients | |
| Doctors Testing Center LLC II | 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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Jacksonville, AR
- NPI 1922178060
-
- Otolaryngology Physician
- Tulsa, OK
- NPI 1679643704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1235320235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2227 W MAIN ST",
"address_2": "STE 3",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "720764207",
"telephone_number": "501-985-9944",
"fax_number": "501-985-6590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2227 W MAIN ST",
"address_2": "STE 3",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "720764207",
"telephone_number": "501-985-9944",
"fax_number": "501-985-6590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JULIANA",
"middle_name": "BROOK",
"name_prefix": "Ms.",
"credential": "TECHNICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "235500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146940002",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDTF",
"identifier": "5C724",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "400522335",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDTF",
"identifier": "400522327",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "5C652",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.