Active NPI
Patricia M. Davis, M.A.
- Marriage & Family Therapist
- Albuquerque, NM
National Provider Identifier
1295828523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3196
- Practice address
- 6501 4TH St NW
Albuquerque, NM 87107-5800 - Phone
- (505) 238-0797
- NPI assigned
- Sep 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3196 | NM | Primary |
Addresses
Primary practice location
6501 4TH St NW
Albuquerque, NM 87107-5800
Mailing address
115 Tierra del Sol Loop
Belen, NM 87002-7111
Phone (505) 238-0797
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3196 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220313600000",
"number": "1295828523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 TIERRA DEL SOL LOOP",
"city": "BELEN",
"state": "NM",
"postal_code": "870027111",
"telephone_number": "505-238-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 4TH ST NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871075800",
"telephone_number": "505-238-0797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "PATRICIA",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-30",
"last_updated": "2008-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NM",
"license": "3196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.