Active NPI
Leslie Davis, PHD
- Psychologist
- Milwaukee, WI
National Provider Identifier
1275088478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2733
- Practice address
- 130 W Bruce St
Ste 200
Milwaukee, WI 53204-1667 - Phone
- (414) 225-4222
- NPI assigned
- Aug 18, 2016
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2733 | WI | Primary |
Addresses
Primary practice location
130 W Bruce St
Ste 200
Milwaukee, WI 53204-1667
Mailing address
130 W Bruce St
Ste 200
Milwaukee, WI 53204-1667
Phone (414) 225-4222
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ldavis25227@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Interoperability endpoints
- ldavis25227@direct.myadvocateaurora.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1275088478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 W BRUCE ST",
"address_2": "STE 200",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532041667",
"telephone_number": "414-225-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W BRUCE ST",
"address_2": "STE 200",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532041667",
"telephone_number": "414-225-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LESLIE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-18",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "2733",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ldavis25227@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "130 W Bruce St",
"address_2": "Ste 200",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532041667",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "130 W Bruce St",
"address_2": "Ste 200",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532041667",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.