Individual provider Active NPI

Jenny Davies Head, AUD CCCA

  • Audiologist
  • Raleigh, NC
National Provider Identifier
1467420216
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3805 Issued in NC
Practice address
3820 Ed Dr
Raleigh, NC 27612-8037
Phone
(919) 782-9003
Fax
(919) 782-9303
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3805 NC Primary
Assistive Technology Practitioner Audiologist 231HA2400X 3805 NC
Assistive Technology Supplier Audiologist 231HA2500X 3805 NC
Audiologist-Hearing Aid Fitter 237600000X 3805 NC
Hearing Instrument Specialist 237700000X 3805 NC
Speech/Language/Hearing Specialist/Technologist 235500000X 3805 NC

Addresses

Primary practice location

3820 Ed Dr
Raleigh, NC 27612-8037

Mailing address

3820 Ed Dr
Raleigh, NC 27612-8037
Phone (919) 782-9003

Other identifiers 1

IdentifierTypeStateIssuer
7001501MedicaidNC

Other names 1

  • Jenny F Davies Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3805NCMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1467420216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 ED DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128037",
            "telephone_number": "919-782-9003",
            "fax_number": "919-782-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 ED DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128037",
            "telephone_number": "919-782-9003",
            "fax_number": "919-782-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "JENNY",
        "middle_name": "DAVIES",
        "credential": "AUD CCCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "3805",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "NC",
            "license": "3805",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "NC",
            "license": "3805",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NC",
            "license": "3805",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NC",
            "license": "3805",
            "primary": false
        },
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "NC",
            "license": "3805",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001501",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "DAVIES",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.