Jill Lynn Davis, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA5697 Issued in FL

Practice address

6150 Diamond Centre CT
Suite 203
Fort Myers, FL 33912-4368

Phone

(239) 482-3154

Fax

(239) 482-3254

NPI assigned

Jun 10, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1339286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339286400000",
    "number": "1811259526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21205 BRAXFIELD LOOP",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283242",
            "telephone_number": "239-404-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 DIAMOND CENTRE CT",
            "address_2": "SUITE 203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124368",
            "telephone_number": "239-482-3154",
            "fax_number": "239-482-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JILL",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-10",
        "last_updated": "2012-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara A Davis, LMHC
• Blake Allen Davis, PA
• Danielle Davis, APRN
• Edward Lebretta Davis, DO
• Frank Scott Davis, SLP
• Kristy K Davis, DO
• Lina G Davis, ARNP
• Lori D Davis, RN
• Matthew Lee Davis, DDS
• Phillip G Davis, MD

• Speech-Language Pathologist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2012; 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.