Active NPI
Rachel Davidson
- Speech-Language Pathologist
- Goodyear, AZ
National Provider Identifier
1295279354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 13385 W McDowell Rd
Goodyear, AZ 85395-2631 - Phone
- (623) 986-5110
- Fax
- (623) 986-5110
- NPI assigned
- Dec 8, 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
13385 W McDowell Rd
Goodyear, AZ 85395-2631
Mailing address
13385 W McDowell Rd
Goodyear, AZ 85395-2631
Phone (623) 986-5110
Other practice location 1
412 1st St SE
Lower Level Rear Entrance
Washington, DC 20003-1804
Phone (202) 470-4185
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Therapy Center | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Bethesda, MD
- NPI 1528516101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1295279354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13385 W MCDOWELL RD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952631",
"telephone_number": "623-986-5110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13385 W MCDOWELL RD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952631",
"telephone_number": "623-986-5110",
"fax_number": "623-986-5110"
}
],
"practiceLocations": [
{
"address_1": "412 1st St SE",
"address_2": "Lower Level Rear Entrance",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200031804",
"country_code": "US",
"telephone_number": "202-470-4185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIDSON",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-08",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.