Jennifer Lelia Davis, DO

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

OP60573471 Issued in WA

Practice address

22620 SE 216TH PL Ste E
Maple Valley, WA 98038-6327

Phone

(425) 200-4546

Fax

(425) 523-9167

NPI assigned

Jun 28, 2011

Sex

Female

Sole proprietor

No

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

• Maple Valley Movement Neurology, PLLC

  • Neurology Physician
  • Maple Valley, WA
  • NPI 1265150379

  Neurology, WA

  Medicare reassignment Care Compare group NPD Authorized official
• Valley Medical Group-Renton

  • General Acute Care Hospital
  • Renton, WA
  • NPI 1619209574

  Neurology, WA

  Medicare reassignment NPD
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• LHCG Lxiii, LLC

  • Home Health Agency
  • Mountlake Terrace, WA
  • NPI 1770998528
  Care Compare affiliation
• Public Hospital District 1 of King County

  • General Acute Care Hospital
  • Renton, WA
  • NPI 1649209230

  Hospital

  Care Compare affiliation
• Swedish Health Services

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1356496582

  Hospital

  Care Compare affiliation
• Valley Medical Group-Renton

  • General Acute Care Hospital
  • Renton, WA
  • NPI 1619209574

  Hospital

  Care Compare affiliation

Specialty

Neurology

Education

Lake Erie College of Osteopathic Medicine, Erie, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Maple Valley Movement Neurology PLLC 2 clinicians

Select Outpatient Services Inc 750 clinicians

Select Rehabilitation, LLC 1,935 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Assured Home Health Home health agency, Mountlake Terrace, WA, CCN 507099
• Valley Medical Center Hospital, Renton, WA, CCN 500088
• Swedish Medical Center / Cherry Hill Hospital, Seattle, WA, CCN 500025

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EEIICD

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 18, 2026.

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1831485846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27317 MAPLE VALLEY BLACK DIAMOND RD SE STE A110",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385158",
            "telephone_number": "425-200-4546",
            "fax_number": "425-523-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22620 SE 216TH PL STE E",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980386327",
            "telephone_number": "425-200-4546",
            "fax_number": "425-523-9167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27317 Maple Valley Black Diamond Rd SE Ste A110",
            "address_purpose": "LOCATION",
            "city": "Maple Valley",
            "state": "WA",
            "postal_code": "980385158",
            "country_code": "US",
            "telephone_number": "425-200-4546",
            "fax_number": "425-523-9167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JENNIFER",
        "middle_name": "LELIA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "OP60573471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Custom Fit Nutrition, LLC
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• Stacy J Davies, MD
• Alyssa Marie Del Palacio, PHARMD
• Sara Michaela Deluca, CBT
• Dental Professionals of Washington Quirt Mongrain Gibree PC
• DF Whitfield DDS PLLC
• Sukhdip Singh Dhillon, MD

• All providers in Maple Valley, WA
• Neurology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.