Kacey Lynne Davidson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3178 Hilton Rd
Ferndale, MI 48220-1059

Phone

(248) 629-4600

NPI assigned

Oct 27, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Lifelab Kids Foundation

  • Behavior Analyst
  • Ferndale, MI
  • NPI 1992286306

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1750008942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3178 HILTON RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3178 HILTON RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201059",
            "telephone_number": "248-629-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "KACEY",
        "middle_name": "LYNNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.lifelabkids.org/",
            "affiliation": "N",
            "address_1": "3178 Hilton Rd",
            "city": "Ferndale",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482201059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chiqutta Crook, MSW, LMSW
• Alexa Laine Cunningham, PA-C
• Frank Curry
• Matthew Daher, LPC
• David Epstein, Inc.
• Shayla Davis
• Andreia De Almeida Schulte, PSYD
• Caitlin Demara, MSW
• David Deniker
• Dental Health Group of Michigan

• Speech-Language Pathologist in Ferndale, MI
• Providers in Ferndale, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.