Malerie Davis

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101005761 Issued in MI

Practice address

36599 Lodge Dr
Sterling Heights, MI 48312-3319

Phone

(586) 855-2414

NPI assigned

Nov 12, 2018

Last updated

Feb 7, 2024By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

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.

• Bloom and Grow Therapy Center

  • Speech-Language Pathologist
  • Sterling Heights, MI
  • NPI 1871270454
  Authorized official Same address or phone
• Quality Care Rehabilitation Professionals

  • Occupational Therapist
  • Shelby Township, MI
  • NPI 1437718830
  NPD (past)

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1811465552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36599 LODGE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36599 LODGE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123319",
            "telephone_number": "586-855-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MALERIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorian Antonio Davis
• Julie Davis, P.T.
• Kentavea Davis
• Kylee Davis
• Lamikka Taiwan Davis
• Micah Evelyn-Ann Davis
• Tiffany Davis, M.D.
• Eveen Dawood
• Rita Saher Dawood
• Zaid Hilal Dawood, NP

• Speech-Language Pathologist in Sterling Heights, MI
• Providers in Sterling Heights, 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 Feb 7, 2024; 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.