Active NPI
Sandra Taul Davis, BS
- Counselor
- Paducah, KY
National Provider Identifier
1366090086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 425 Broadway St
Paducah, KY 42001-0713 - Phone
- (270) 442-7121
- NPI assigned
- Aug 27, 2019
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
425 Broadway St
Paducah, KY 42001-0713
Mailing address
425 Broadway St
Paducah, KY 42001-0713
Phone (270) 442-7121
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
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1366090086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 BROADWAY ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420010713",
"telephone_number": "270-442-7121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 BROADWAY ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420010713",
"telephone_number": "270-442-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SANDRA",
"middle_name": "TAUL",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-27",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.