Active NPI
Michelle Suzanne Davis
- Counselor
- Fresno, CA
National Provider Identifier
1295487403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 693 W Bullard Ave
Fresno, CA 93704-1607 - Phone
- (559) 455-0991
- NPI assigned
- Jan 19, 2022
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
693 W Bullard Ave
Fresno, CA 93704-1607
Mailing address
693 W Bullard Ave
Fresno, CA 93704-1607
Other practice location 1
2010 N Fine Ave
Fresno, CA 93727-1558
Phone (559) 455-0991
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1295487403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "693 W BULLARD AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937041607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "693 W BULLARD AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937041607",
"telephone_number": "559-455-0991"
}
],
"practiceLocations": [
{
"address_1": "2010 N Fine Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937271558",
"country_code": "US",
"telephone_number": "559-455-0991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "MICHELLE",
"middle_name": "SUZANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-19",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.