Aisha Angela Davis, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

73804 Issued in CT

Practice address

179 Roseland Ave
Waterbury, CT 06710-1411

Phone

(475) 323-6601

Fax

(203) 755-3109

NPI assigned

Mar 25, 2015

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11240/brand/1/csg/1/fhir/r4
• Direct secure messaging: adavis@caahc-ct.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Child & Adolescent Health Care

  • Pediatrics Physician
  • Waterbury, CT
  • NPI 1497937411
  NPD (past)

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1588058846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 ROSELAND AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101411",
            "telephone_number": "475-323-6601",
            "fax_number": "203-755-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 ROSELAND AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101411",
            "telephone_number": "475-323-6601",
            "fax_number": "203-755-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AISHA",
        "middle_name": "ANGELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "73804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "292654",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "73804",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Davenport, BA
• David G. Reis MD, LLC
• Sonya David
• Anne Marie Davino, LCSW
• Andrea Davis-Steele, FNP
• Kate Hawkins Davis, LCSW
• Kelvin Davis
• Rodney Lee Davis Jr., LADC, LSW, LPC, PSYA
• Semone Davis
• Maria D Dawe, M.D,

• Pediatrics Physician in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.