Organization Active NPI

J T Davis, LLC

  • Speech-Language Pathologist
  • China Spring, TX
National Provider Identifier
1659062297
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
J T DAVIS, LLC
Practice address
165 Leisure Cir
China Spring, TX 76633-2847
Phone
(325) 669-4550
NPI assigned
May 16, 2023
Last updated
Aug 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Jennifer Hubbard Davis, M.S., CCC-SLPNPI 1992122014
Title
Owner/Speech-Language Pathologist
Phone
(325) 669-4550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

165 Leisure Cir
China Spring, TX 76633-2847

Mailing address

10412 China Spring Road
Ste F PMB 1117
Waco, TX 76708
Phone (325) 669-4550

National Provider Directory

National Provider Directory

Locations

10412 China Spring Rd
Ste F
Waco, TX 76708
Phone (832) 499-8933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1659062297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 CHINA SPRING ROAD",
            "address_2": "STE F PMB 1117",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76708",
            "telephone_number": "325-669-4550",
            "fax_number": "254-836-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 LEISURE CIR",
            "city": "CHINA SPRING",
            "state": "TX",
            "postal_code": "766332847",
            "telephone_number": "325-669-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J T DAVIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "HUBBARD",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "325-669-4550",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in China Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.