Active NPI
Diane Davis Davey, MD
- Cytopathology Physician
- Orlando, FL
National Provider Identifier
1386609642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- License
- 25798
- Practice address
- 5201 Raymond St
Orlando Vamc, Laboratory
Orlando, FL 32803-8208 - Phone
- (407) 629-1599
- Fax
- (407) 599-1387
- NPI assigned
- Apr 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 25798 | KY | Primary |
| Hematology (Pathology) Physician | 207ZH0000X | 25798 | KY |
Addresses
Primary practice location
5201 Raymond St
Orlando Vamc, Laboratory
Orlando, FL 32803-8208
Mailing address
6850 Lake Nona Blvd
College of Medicine, Health Sciences Campus, 4TH Floor
Orlando, FL 32827-7408
Phone (407) 266-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64257983 | Medicaid | KY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25798 | KY | MD | Hematology (Pathology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1386609642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6850 LAKE NONA BLVD",
"address_2": "COLLEGE OF MEDICINE, HEALTH SCIENCES CAMPUS, 4TH FLOOR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277408",
"telephone_number": "407-266-1100",
"fax_number": "407-266-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 RAYMOND ST",
"address_2": "ORLANDO VAMC, LABORATORY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328038208",
"telephone_number": "407-629-1599",
"fax_number": "407-599-1387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVEY",
"first_name": "DIANE",
"middle_name": "DAVIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "KY",
"license": "25798",
"primary": true
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "KY",
"license": "25798",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64257983",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.