Active NPI
Kaitey Davidson
- Counselor
- Granby, CO
National Provider Identifier
1417437914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 244 East Agate Ave
Granby, CO 80446 - Phone
- (970) 887-2179
- Fax
- (970) 887-9311
- NPI assigned
- Aug 15, 2018
- Last updated
- Mar 6, 2019
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
244 East Agate Ave
Granby, CO 80446
Mailing address
715 Horizon Dr Ste 225
Grand Junction, CO 81506-8743
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1417437914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 HORIZON DR STE 225",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 EAST AGATE AVE",
"city": "GRANBY",
"state": "CO",
"postal_code": "80446",
"telephone_number": "970-887-2179",
"fax_number": "970-887-9311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "KAITEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-15",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granby, CO
- Colorado West Regional Mental Health, Inc. (Health Solutions West)
- County of Grand (Grand County Emergency Medical Services)
- Ellen Grace Cowman, LCSW
- Jordyn Crane, RDN
- Sandee Cysewski
- Dermatology Center of Steamboat Springs, LLC a Professional LLC
- Kathryn Dickson, PT
- Dillon Companies LLC (City Market Pharmacy)
- Shawn Dinkel, M.A., L.P.C., CACII
- Caitlyn Drews, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.