Carla Marie Davidson, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

008118-1 Issued in NY

Practice address

200 Alcott Rd
Rochester, NY 14626-2424

Phone

(585) 966-4400

NPI assigned

Sep 11, 2011

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

Other names 1

• Carla M Davidson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1315699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1811279367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ALCOTT RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146262424",
            "telephone_number": "585-966-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ALCOTT RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146262424",
            "telephone_number": "585-966-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "CARLA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-11",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "008118-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "DAVIDSON",
            "middle_name": "M",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David Ramjattansingh DDS PLLC
• Nicholas Dimitri David, M.D.
• Rachel David, M.D.
• Tamala Miyako David, RN, FNP
• Tracey Q. Davidoff, MD
• Heather L B Davidson, M.S
• Kenneth H Davidson, MD
• Shaiasia Davidson, LPN
• Caitlin Davie, MHC-LP
• Alexander Thomas Davies, PA

• Speech-Language Pathologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.