Timothy J Davis, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

LD61158244 Issued in WA

Practice address

320 W Willow St
Walla Walla, WA 99362-2922

Phone

(509) 525-3720

NPI assigned

Jul 3, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group Washington PLLCGroup PAC ID 2264320837, 73 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothy.davis.2@28594.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/28594/brand/1/csg/1/fhir/r4

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.

• Privia Medical Group Washington, PLLC

  • Clinic/Center
  • Walla Walla, WA
  • NPI 1780658419

  WA

  Medicare reassignment Care Compare group NPD
• Walla Walla Clinic, Inc.

  • Ambulatory Surgical Clinic/Center
  • Walla Walla, WA
  • NPI 1760568273
  Care Compare group NPD
• Privia Medical Group Washington, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Deer Park, WA
  • NPI 1225911829
  Care Compare group
• Privia Medical Group Washington, PLLC

  • Rural Health Clinic/Center
  • Deer Park, WA
  • NPI 1235944414
  Care Compare group
• Privia Medical Group Washington, PLLC

  • Rural Health Clinic/Center
  • Walla Walla, WA
  • NPI 1346441979
  Care Compare group
• Privia Medical Group Washington, PLLC

  • Rural Health Clinic/Center
  • Deer Park, WA
  • NPI 1790590974
  Care Compare group
• Walla Walla Clinic, Inc.

  • Clinic/Center
  • Milton Freewater, OR
  • NPI 1063521862
  NPD

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1831539915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 WHITNEY RD",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993627734",
            "telephone_number": "509-200-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W WILLOW ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622922",
            "telephone_number": "509-525-3720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 W Tietan St",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993624498",
            "country_code": "US",
            "telephone_number": "509-525-3720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.01857",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD61158244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Davis, M.A., L.M.T.
• Madison Mackenzie Davis, LSWAIC
• Mark Anthony Davis, PMHNP-BC
• Patrick Edward Davis, MD
• Steven J. Davis, O.D.
• Pamela J Daws, R.D.
• Jennifer Dawson, LCSW
• Nicholas Day
• DB Medical Supply, LLC
• Jessica De Oro, MSW

• All providers in Walla Walla, WA
• Audiologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.