Active NPI
Marie Kathryn Davis
- Social Worker
- Lowell, MA
National Provider Identifier
1679985451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 319 Wilder St
Lowell, MA 01851-1731 - Phone
- (978) 452-4522
- NPI assigned
- May 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Nutritionist | 133N00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
319 Wilder St
Lowell, MA 01851-1731
Mailing address
46 Chestnut St
Westborough, MA 01581-3016
Phone (508) 498-2567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1679985451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 CHESTNUT ST",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015813016",
"telephone_number": "508-498-2567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 WILDER ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018511731",
"telephone_number": "978-452-4522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MARIE",
"middle_name": "KATHRYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-28",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.