Active NPI
Sherrie Ann Davis, CHT
- Psychologist
- Vancouver, WA
National Provider Identifier
1780958116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- HP 60267190
- Practice address
- 16904 SE 1St Street Suite 104
Vancouver, WA 98684-8723 - Phone
- (360) 991-2619
- NPI assigned
- Mar 2, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | HP 60267190 | WA | Primary |
Addresses
Primary practice location
16904 SE 1St Street Suite 104
Vancouver, WA 98684-8723
Mailing address
16904 SE 1St St Ste 104
Vancouver, WA 98684-8511
Phone (360) 991-2619
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
| License | State | Type | Specialty |
|---|---|---|---|
| HP 60267190 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1780958116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16904 SE 1ST ST STE 104",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986848511",
"telephone_number": "360-991-2619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16904 SE 1ST STREET SUITE 104",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986848723",
"telephone_number": "360-991-2619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SHERRIE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "CHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-02",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "HP 60267190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.