Active NPI
Iyana Davidson
- Mental Health Counselor
- Homestead, FL
National Provider Identifier
1306233374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 13386 SW 282ND St
Homestead, FL 33033-7367 - Phone
- (305) 905-5126
- NPI assigned
- Apr 17, 2015
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
13386 SW 282ND St
Homestead, FL 33033-7367
Mailing address
6100 Blue Lagoon Dr
Suite 400
Miami, FL 33126-2079
Phone (305) 398-6100
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": "1429228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1306233374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 BLUE LAGOON DR",
"address_2": "SUITE 400",
"city": "MIAMI",
"state": "FL",
"postal_code": "331262079",
"telephone_number": "305-398-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13386 SW 282ND ST",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330337367",
"telephone_number": "305-905-5126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "IYANA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-17",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.