Active NPI
Caitlin Alyse Davis, AUD
- Audiologist
- Simi Valley, CA
National Provider Identifier
1396573937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU3770
- Practice address
- 2655 1St St Ste 170
Simi Valley, CA 93065-1565 - Phone
- (805) 584-3327
- Fax
- (805) 584-3329
- NPI assigned
- Jul 24, 2024
- Last updated
- Jul 24, 2024
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU3770 | CA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | AU3770 | CA |
Addresses
Primary practice location
2655 1St St Ste 170
Simi Valley, CA 93065-1565
Mailing address
2655 1St St Ste 170
Simi Valley, CA 93065-1565
Phone (805) 584-3327
Other practice location 1
100 E Thousand Oaks Blvd Ste 268
Thousand Oaks, CA 91360-8147
Phone (805) 584-3327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3770 | CA | MD | School Psychologist |
| AU3770 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport Mesa Audiology Inc | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
| Decibel Hearing Services | Audiologist | Past | Accepting new patients |
Locations
500 Old Newport Blvd
Ste 101
Newport Beach, CA 92663
Phone (949) 274-8399
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EHFGBA
Organizations & group practices 2
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.
-
- Audiologist-Hearing Aid Fitter
- Newport Beach, CA
- NPI 1144385998
-
- Audiologist
- Simi Valley, CA
- NPI 1932400538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1396573937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2655 1ST ST STE 170",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651565",
"telephone_number": "805-584-3327",
"fax_number": "805-584-3329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 1ST ST STE 170",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651565",
"telephone_number": "805-584-3327",
"fax_number": "805-584-3329"
}
],
"practiceLocations": [
{
"address_1": "100 E Thousand Oaks Blvd Ste 268",
"address_purpose": "LOCATION",
"city": "Thousand Oaks",
"state": "CA",
"postal_code": "913608147",
"country_code": "US",
"telephone_number": "805-584-3327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "CAITLIN",
"middle_name": "ALYSE",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU3770",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU3770",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.