Individual provider Active NPI

Susan Marie Houlihan-Davis, A.T.,C.

  • Athletic Trainer
  • Santa Barbara, CA
National Provider Identifier
1780898312
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
721 Cliff Dr
Santa Barbara, CA 93109-2312
Phone
(805) 965-0581
Fax
(805) 884-1175
NPI assigned
May 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X CA Primary

Addresses

Primary practice location

721 Cliff Dr
Santa Barbara, CA 93109-2312

Mailing address

2028 Blackberry Cir
Oxnard, CA 93036-9061
Phone (805) 965-0581

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

State licenses

LicenseStateTypeSpecialty
000080927CAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara Community College District Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780898312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 BLACKBERRY CIR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930369061",
            "telephone_number": "805-965-0581",
            "fax_number": "805-884-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 CLIFF DR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931092312",
            "telephone_number": "805-965-0581",
            "fax_number": "805-884-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOULIHAN-DAVIS",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "A.T.,C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.