Individual provider Active NPI

Veralyn Davee, M.A., CCC-A

  • Audiologist
  • New Milford, CT
National Provider Identifier
1356545164
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000375 Issued in CT
Practice address
3 Church St
New Milford, CT 06776-3003
Phone
(860) 354-6575
Fax
(860) 354-7181
NPI assigned
Jun 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000375 CT Primary

Addresses

Primary practice location

3 Church St
New Milford, CT 06776-3003

Mailing address

3 Church St
New Milford, CT 06776-3003
Phone (860) 354-6575

Other identifiers 1

IdentifierTypeStateIssuer
061411413OtherCTFED TAX ID

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

LicenseStateTypeSpecialty
000375CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Ear Nose and Throat Center PC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356545164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CHURCH ST",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763003",
            "telephone_number": "860-354-6575",
            "fax_number": "860-354-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CHURCH ST",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763003",
            "telephone_number": "860-354-6575",
            "fax_number": "860-354-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVEE",
        "first_name": "VERALYN",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "000375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID",
            "identifier": "061411413",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.