Alyssa J. Davidson, AUD, PHD, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

01619 Issued in MD

Practice address

1600 Crain Hwy S Ste 509
Glen Burnie, MD 21061-6443

Phone

(443) 987-2313

NPI assigned

Oct 10, 2019

Last updated

Mar 7, 2024By the provider in NPPES

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

Other names 1

• Alyssa J Everett Former name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comptroller of Maryland Central Payroll BureauGroup PAC ID 7416859327, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Comptroller of Maryland Central Payroll Bureau

  dba Towson University Hearing & Balance Center

  • Audiologist
  • Towson, MD
  • NPI 1871609545
  Medicare reassignment Care Compare group NPD
• State of Maryland Central Payroll Bureau

  dba Charlotte Hall Veterans Home - Maryland Department of Veterans & Military Families

  • Skilled Nursing Facility
  • Charlotte Hall, MD
  • NPI 1356032734
  NPD

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1245872274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 EMALY JANE LN",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755494",
            "telephone_number": "443-987-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S STE 509",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616443",
            "telephone_number": "443-987-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "ALYSSA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "AUD, PHD, CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "EVERETT",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patrick Darnley
• Jayanti Dasgupta, M.D.
• Julio G Davalos, MD
• David a Schwartz (David a Schwartz DO)
• David B.Woehlke, O.D., P.a.
• Alexander James Davies, M.D.
• Orolobofaa Davies
• Lidia Elizabeth Davila, CRNP
• Carter Davis, ACSM-CEP
• Faith Elizabeth Davis, LCSW-C, LCSW

• Audiologist in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Audiologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.