Active NPI
Julia Kathryn Davey, MD
- Pediatrics Physician
- Grand Haven, MI
National Provider Identifier
1740282995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301065744
- Practice address
- 15100 Whittaker Way
Grand Haven, MI 49417-8696 - Phone
- (616) 935-6300
- NPI assigned
- Jun 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301065744 | MI | Primary |
Addresses
Primary practice location
15100 Whittaker Way
Grand Haven, MI 49417-8696
Mailing address
100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560
Other practice location 1
1445 Sheldon Rd
Suite 302
Grand Haven, MI 49417-2480
Phone (616) 842-3250
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301065744 | MI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1740282995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE",
"address_2": "MC 845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15100 WHITTAKER WAY",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494178696",
"telephone_number": "616-935-6300"
}
],
"practiceLocations": [
{
"address_1": "1445 Sheldon Rd",
"address_2": "Suite 302",
"address_purpose": "LOCATION",
"city": "Grand Haven",
"state": "MI",
"postal_code": "494172480",
"country_code": "US",
"telephone_number": "616-842-3250",
"fax_number": "616-842-0754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVEY",
"first_name": "JULIA",
"middle_name": "KATHRYN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-01",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301065744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.