Individual provider Active NPI

Anne-Laure Davis

  • Counselor
  • Medford, MA
National Provider Identifier
1831561216
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
100 George P Hassett Dr
Medford, MA 02155-3258
Phone
(781) 393-4828
NPI assigned
Oct 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

100 George P Hassett Dr
Medford, MA 02155-3258

Mailing address

100 George P Hassett Dr
Medford, MA 02155-3258
Phone (781) 393-4828

Other practice location 1

1613 Blue Hill Ave
302
Mattapan, MA 02126-2123
Phone (857) 598-4774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Professional Care, LLC PastSince Apr 5, 2016 Accepting new patients
Priority Professional Care,LLC Past Accepting new patients
Hri Clinics Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1831561216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GEORGE P HASSETT DR",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553258",
            "telephone_number": "781-393-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GEORGE P HASSETT DR",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553258",
            "telephone_number": "781-393-4828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1613 Blue Hill Ave",
            "address_2": "302",
            "address_purpose": "LOCATION",
            "city": "Mattapan",
            "state": "MA",
            "postal_code": "021262123",
            "country_code": "US",
            "telephone_number": "857-598-4774",
            "fax_number": "857-598-4816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANNE-LAURE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.