Individual provider Active NPI

Shirley David, MS LLP LCAS SAP

  • Addiction (Substance Use Disorder) Counselor
  • Apex, NC
National Provider Identifier
1447403910
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1231 Issued in NC
Practice address
800 W Williams St
Suite 231-O
Apex, NC 27502-6488
Phone
(919) 623-4384
Fax
(919) 362-4390
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1231 NC Primary
Clinical Psychologist 103TC0700X 6301006758 MI

Addresses

Primary practice location

800 W Williams St
Suite 231-O
Apex, NC 27502-6488

Mailing address

1806 Charlion Downs LN
Apex, NC 27502-6488
Phone (919) 623-4384

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 Science

State licenses

LicenseStateTypeSpecialty
1231NCMDAddiction (Substance Use Disorder) Counselor
6301006758MIMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1447403910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 CHARLION DOWNS LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275026488",
            "telephone_number": "919-623-4384",
            "fax_number": "919-362-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W WILLIAMS ST",
            "address_2": "SUITE 231-O",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275026488",
            "telephone_number": "919-623-4384",
            "fax_number": "919-362-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "SHIRLEY",
        "credential": "MS LLP LCAS SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1231",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.