Penny Davidson, CCSS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

614 Becker Ave
Belen, NM 87002-3634

Phone

(575) 835-4357

Fax

(505) 514-0732

NPI assigned

May 5, 2023

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2023.

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683331200000",
    "number": "1558050351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870020456",
            "telephone_number": "575-835-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 BECKER AVE",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023634",
            "telephone_number": "575-835-4357",
            "fax_number": "505-514-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "PENNY",
        "credential": "CCSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-06",
        "certification_date": "2023-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Cullivan, SLP
• Kathryn D'Ancona, RN
• Kay Darter
• David D Schneider MD PC
• David L Wright
• Katie-Lynn S Deraps
• Dina Dogin
• Leonore Dominguez, COTA
• Rebecca Ann Dominguez, ATC, LAT
• Jenifer Lee Donnell, LVN

• All providers in Belen, NM
• Case Manager/Care Coordinator in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2023; 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.