Individual provider Active NPI

Ann Elizabeth Davis, LMFT

  • Marriage & Family Therapist
  • Ventura, CA
National Provider Identifier
1275565301
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT#41837 Issued in CA
Practice address
5500 Telegraph Rd
Suite 175
Ventura, CA 93003-4250
Phone
(805) 642-2234
Fax
(805) 642-2234
NPI assigned
Jul 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT#41837 CA Primary

Addresses

Primary practice location

5500 Telegraph Rd
Suite 175
Ventura, CA 93003-4250

Mailing address

5500 Telegraph Rd
Suite 175
Ventura, CA 93003-4250
Phone (805) 642-2234

Other identifiers 1

IdentifierTypeStateIssuer
418370OtherCABLUE SHIELD OF CA 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

State licenses

LicenseStateTypeSpecialty
MFT#41837CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275565301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 TELEGRAPH RD",
            "address_2": "SUITE 175",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034250",
            "telephone_number": "805-642-2234",
            "fax_number": "805-642-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 TELEGRAPH RD",
            "address_2": "SUITE 175",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034250",
            "telephone_number": "805-642-2234",
            "fax_number": "805-642-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT#41837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA ID",
            "identifier": "418370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.