Brenda Davis, M.ED, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2755 Issued in OK

Practice address

8524 S Western Ave
Suite 112
Oklahoma City, OK 73139-9246

Phone

(405) 640-7045

Fax

(405) 702-9397

NPI assigned

Dec 4, 2009

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 Education

State licenses

Practice roles

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.

• Speech Pathology Services, LLC

  • Speech-Language Pathologist
  • Oklahoma City, OK
  • NPI 1629306477
  NPD (past) Authorized official

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1619205465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7753",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731531753",
            "telephone_number": "405-640-7045",
            "fax_number": "405-702-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8524 S WESTERN AVE",
            "address_2": "SUITE 112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399246",
            "telephone_number": "405-640-7045",
            "fax_number": "405-702-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BRENDA",
        "credential": "M.ED, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Charlotte Davis, MS
• Barbara Jean Davis
• Barbara Jo Ann Davis, R.N.
• Bill J Davis, LPC
• Brandi Dawn Davis
• Brent Michael Davis, PA-C
• Bruce Bernard Davis II
• Candace Marie Davis
• Carl Gene Davis, LPN
• Charlotte Davis, PSRS

• Speech-Language Pathologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.