Individual provider Active NPI

Elizabeth Frey Davis-Nichols, MS CCC SLP

  • Speech-Language Pathologist
  • Spokane, WA
National Provider Identifier
1497827679
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00003895 Issued in WA
Practice address
8502 N Nevada St
#2
Spokane, WA 99208-7395
Phone
(509) 487-2958
Fax
(509) 487-3025
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL00003895 WA Primary

Addresses

Primary practice location

8502 N Nevada St
#2
Spokane, WA 99208-7395

Mailing address

3812 W Tieton Ave
Spokane, WA 99208-4331

Other identifiers 1

IdentifierTypeStateIssuer
8034373MedicaidWA

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
LL00003895WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1497827679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 W TIETON AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8502 N NEVADA ST",
            "address_2": "#2",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992087395",
            "telephone_number": "509-487-2958",
            "fax_number": "509-487-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-NICHOLS",
        "first_name": "ELIZABETH",
        "middle_name": "FREY",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8034373",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.