Active NPI
Roanna Lynn Davis, MA CCC/SLP
- Speech-Language Pathologist
- Lakewood, CO
National Provider Identifier
1427569474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 11177 W 8TH Ave
Lakewood, CO 80215-5575 - Phone
- (303) 462-6648
- NPI assigned
- Oct 17, 2017
- 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 | Primary |
Addresses
Primary practice location
11177 W 8TH Ave
Lakewood, CO 80215-5575
Mailing address
11177 W 8TH Ave
Lakewood, CO 80215-5575
Phone (303) 462-6648
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01111214 | Other | ASHA | |
| SLP-0000280 | Other | CO | DORA |
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
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1427569474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11177 W 8TH AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802155575",
"telephone_number": "303-462-6648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11177 W 8TH AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802155575",
"telephone_number": "303-462-6648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ROANNA",
"middle_name": "LYNN",
"credential": "MA CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "01111214",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORA",
"identifier": "SLP-0000280",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.