Diana L Davis, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY60888941 Issued in WA

Practice address

1322 Washington St Unit 17
Port Townsend, WA 98368-6862

Phone

(360) 344-8429

NPI assigned

Jan 15, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814
  NPD (past)

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1740427558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 WASHINGTON ST UNIT 17",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686862",
            "telephone_number": "360-344-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 WASHINGTON ST UNIT 17",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686862",
            "telephone_number": "360-344-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DIANA",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "PY60888941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140800702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David T Chuljian DDS PS
• Davis Chiropractic, P.C.
• Andrea Davis, LMT
• C J Davis, D.C.
• Christopher James Davis, MD
• Arista B Dechant, LMHC
• Jamillah Decianne
• Moniquea Jean Degan, APRN
• Gregory V Deklever, LICSW
• Anuradha Devi, LMP

• Clinical Neuropsychologist in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• Clinical Neuropsychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.