McKay Knight Davis, MACL, LPC, CRADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2013022743 Issued in MO

Practice address

689 W Juan Tabo LN
Republic, MO 65738-1487

Phone

(417) 838-7105

NPI assigned

Sep 3, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mckay.davis.1@30520.direct.athenahealth.com

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433635200000",
    "number": "1275967796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 W JUAN TABO LN",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381487",
            "telephone_number": "417-838-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 W JUAN TABO LN",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381487",
            "telephone_number": "417-838-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MCKAY",
        "middle_name": "KNIGHT",
        "credential": "MACL, LPC, CRADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2015-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "8056",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013022743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Cronin, SLP-CF
• Darla S Cunningham, LPC
• Hannah Cunningham, OTR, L
• Teresa Ann Davidson, OTR L
• Elizabeth Davis
• Kimberly Dawn Dolan, LPC
• Haly Donaldson, PLPC
• Drew Consulting LLC
• Sadie Faith Dugger, PHARMD
• Dynamic Strides Therapy Inc

• Professional Counselor in Republic, MO
• Providers in Republic, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.