Active NPI
Jamie Davis
- Speech-Language Pathologist
- West Lafayette, OH
National Provider Identifier
1427451251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 10541
- Practice address
- 225 W Union Ave
West Lafayette, OH 43845-1150 - Phone
- (740) 502-5856
- NPI assigned
- Oct 7, 2014
- Last updated
- Oct 7, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP 10541 | OH | Primary |
Addresses
Primary practice location
225 W Union Ave
West Lafayette, OH 43845-1150
Mailing address
22695 State Route 751
West Lafayette, OH 43845-9737
Phone (740) 502-5856
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP.10541 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP 10541 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412640000000",
"number": "1427451251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22695 STATE ROUTE 751",
"city": "WEST LAFAYETTE",
"state": "OH",
"postal_code": "438459737",
"telephone_number": "740-502-5856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 W UNION AVE",
"city": "WEST LAFAYETTE",
"state": "OH",
"postal_code": "438451150",
"telephone_number": "740-502-5856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JAMIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-07",
"last_updated": "2014-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP 10541",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SP.10541",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Lafayette, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.