Active NPI
Justine Nola Davis, MS, CCC/SLP
- Speech-Language Pathologist
- Uniontown, PA
National Provider Identifier
1457603524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL009799
- Practice address
- 520 W Main St
Uniontown, PA 15401-2602 - Phone
- (724) 430-1127
- Fax
- (724) 430-2438
- NPI assigned
- Oct 12, 2012
- 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 | SL009799 | PA | Primary |
Addresses
Primary practice location
520 W Main St
Uniontown, PA 15401-2602
Mailing address
520 W Main St
Uniontown, PA 15401-2602
Phone (724) 430-1127
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
| License | State | Type | Specialty |
|---|---|---|---|
| SL009799 | PA | MD | Speech-Language Pathologist |
Interoperability endpoints
- justine.n.davis@upmcdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350000000000",
"number": "1457603524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 W MAIN ST",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154012602",
"telephone_number": "724-430-1127",
"fax_number": "724-430-2438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W MAIN ST",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154012602",
"telephone_number": "724-430-1127",
"fax_number": "724-430-2438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JUSTINE",
"middle_name": "NOLA",
"name_prefix": "Mrs.",
"credential": "MS, CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-12",
"last_updated": "2012-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL009799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Uniontown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.