Individual provider Active NPI

Emily Ann Davidson, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Denver, CO
National Provider Identifier
1255971990
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0005223 Issued in CO
Practice address
3401 Quebec St Ste 3500
Denver, CO 80207-2339
Phone
(339) 672-0706
NPI assigned
Jan 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146015069 IL
Speech-Language Pathologist 235Z00000X 28785 CA
Speech-Language Pathologist 235Z00000X SLP.0005223 CO Primary

Addresses

Primary practice location

3401 Quebec St Ste 3500
Denver, CO 80207-2339

Mailing address

2060 S Sawgrass CT
La Habra, CA 90631-2022
Phone (714) 501-3777

Other practice location 1

3002 Dow Ave Ste 114
Tustin, CA 92780-7247
Phone (714) 731-4668

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP.0005223COMDSpeech-Language Pathologist
146015069ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Soar Health, Inc. Speech-Language Pathologist Past Accepting new patients
Centra Pediatric Therapy Speech-Language Pathologist PastSince Jan 1, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1255971990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 S SAWGRASS CT",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906312022",
            "telephone_number": "714-501-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 QUEBEC ST STE 3500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802072339",
            "telephone_number": "339-672-0706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3002 Dow Ave Ste 114",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927807247",
            "country_code": "US",
            "telephone_number": "714-731-4668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146015069",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "28785",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0005223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.