Amie Lynn Davis, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

101731 Issued in TX

Practice address

1000 Wiggins Pkwy
Mesquite, TX 75150-7465

Phone

(972) 686-3776

NPI assigned

Oct 4, 2016

Last updated

Oct 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1467902338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 FEATHERSTONE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750877179",
            "telephone_number": "214-684-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WIGGINS PKWY",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751507465",
            "telephone_number": "972-686-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J. Clark, DC Professional Association
• Rachael Lynn David, LCSW
• Billy Ray Davidson, TECH
• Kasandra Davila
• Richard Maurice Davila, CRNFA
• Anniya Davis
• Brandt Lewis Davis, DPM
• Cassandra Denise Davis
• Desiree Davis
• Kayla Ann Davis, MS PSYCHOLOGY

• Speech-Language Pathologist in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.