Individual provider Active NPI

Sydney A Davis, LMP

  • Specialist
  • Napavine, WA
National Provider Identifier
1356616668
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA 60248239 Issued in WA
Practice address
355 Linhart Ave. NE
Napavine, WA 98565-0329
Phone
(360) 266-8800
Fax
(360) 266-8700
NPI assigned
Mar 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA 60248239 WA Primary

Addresses

Primary practice location

355 Linhart Ave. NE
Napavine, WA 98565-0329

Mailing address

355 Linhart Ave. NE
PO Box 329
Napavine, WA 98565-0329
Phone (360) 266-8800

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

State licenses

LicenseStateTypeSpecialty
MA 60248239WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Napavine Family Chiropractic, PS PastSince Jan 1, 2006 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.

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1356616668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 LINHART AVE. NE",
            "address_2": "PO BOX 329",
            "city": "NAPAVINE",
            "state": "WA",
            "postal_code": "985650329",
            "telephone_number": "360-266-8800",
            "fax_number": "360-266-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 LINHART AVE. NE",
            "city": "NAPAVINE",
            "state": "WA",
            "postal_code": "985650329",
            "telephone_number": "360-266-8800",
            "fax_number": "360-266-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SYDNEY",
        "middle_name": "A",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA 60248239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napavine, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.