Daviess Treatment Services LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

DAVIESS TREATMENT SERVICES LLC

Practice address

3032 US Highway 60 E
Owensboro, KY 42303-0288

Phone

(270) 685-5029

NPI assigned

Apr 5, 2017

Organization subpart

Yes

Parent organization

PINNACLE TREATMENT CENTERS INCAs reported in NPPES

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

Authorized official

Name

Robyn Tanis

Title

Executive Director of Contract MGMT

Phone

(856) 533-8762

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Part of

Pinnacle Treatment Centers Oh -Xvii

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah J Faxon, APRN

  • Nurse Practitioner
  • Henderson, KY
  • NPI 1912551870
  NPD (past)

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1669905857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ROUTE 73 STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542202",
            "telephone_number": "856-439-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 US HIGHWAY 60 E",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423030288",
            "telephone_number": "270-685-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIESS TREATMENT SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE TREATMENT CENTERS INC",
        "enumeration_date": "2017-04-05",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "TANIS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF CONTRACT MGMT",
        "authorized_official_telephone_number": "856-533-8762"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "810509",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Dauby, SLP
• Victoria Michelle Daugherty
• Davco Rest Home, LLC
• Brittany Davidson, APRN
• Daviess County Board of Education
• Brett C Davis, M.D.
• Darci Blue Davis, RDN
• Eric Martin Davis, D.C.
• Nicole Elizabeth Davis, D.O.
• Angela M Dawson, M.D.

• Methadone Clinic in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Methadone Clinic in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.