Active NPI
Maple Valley Movement Neurology, PLLC
- Neurology Physician
- Maple Valley, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- MAPLE VALLEY MOVEMENT NEUROLOGY, PLLC
- Practice address
- 22620 SE 216TH PL Ste E
Maple Valley, WA 98038-6327 - Phone
- (425) 200-4546
- Fax
- (425) 523-9167
- NPI assigned
- Aug 16, 2022
- Last updated
- May 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Lelia Davis, DO
- Title
- Auth Official
- Phone
- (425) 200-4546
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | NU | Primary |
Addresses
Primary practice location
22620 SE 216TH PL Ste E
Maple Valley, WA 98038-6327
Mailing address
27317 Maple Valley Black Diamond Rd SE Ste A110
Maple Valley, WA 98038-5158
Phone (425) 200-4546
Other practice location 1
27317 Maple Valley Black Diamond Rd SE Ste A110
Maple Valley, WA 98038-5158
Phone (425) 200-4546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
22620 SE 216th Pl
Ste D
Maple Valley, WA 98038
22620 SE 216th Pl
Ste E
Maple Valley, WA 98038
Phone (425) 200-4546
27317 Black Diamond Rd SE
Ste A110
Maple Valley, WA 98038
Phone (425) 200-4546
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EEIICD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Maple Valley, WA
- NPI 1831485846
-
- Nurse Practitioner
- Renton, WA
- NPI 1285985218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779062400000",
"number": "1265150379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27317 MAPLE VALLEY BLACK DIAMOND RD SE STE A110",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980385158",
"telephone_number": "425-200-4546",
"fax_number": "425-523-9167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22620 SE 216TH PL STE E",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980386327",
"telephone_number": "425-200-4546",
"fax_number": "425-523-9167"
}
],
"practiceLocations": [
{
"address_1": "27317 Maple Valley Black Diamond Rd SE Ste A110",
"address_purpose": "LOCATION",
"city": "Maple Valley",
"state": "WA",
"postal_code": "980385158",
"country_code": "US",
"telephone_number": "425-200-4546",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MAPLE VALLEY MOVEMENT NEUROLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-16",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "LELIA",
"authorized_official_title_or_position": "AUTH OFFICIAL",
"authorized_official_telephone_number": "425-200-4546",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Valley, WA
- Maple Valley Chiropractic and Massage, Inc.
- Maple Valley Chiropractic PLLC (Spinacare Chiropractic & Massage)
- Maple Valley Dentistry Professionals
- Maple Valley Eye Care Center PS
- Maple Valley Hearing AIDS LLC
- Maple Valley Physical Therapy, Inc.
- Maple Valley Vision Clinic PLLC (Maple Valley Vision Clinic)
- George M. Marchis, D.P.T.
- Shannon Lynn Markegard, DO
- Brenda Martinez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.