Kristy Ann Davis

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14064861 Issued in OR

Practice address

330 W Powell Blvd
Gresham, OR 97030-7051

Phone

(503) 453-2420

NPI assigned

Oct 8, 2024

Last updated

Oct 8, 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1851110654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 SE BEAVER CREEK LN",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970602353",
            "telephone_number": "503-453-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W POWELL BLVD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307051",
            "telephone_number": "503-453-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KRISTY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "14064861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margot E David, ED.M., MSW, LCSW
• Marc Romayne Davidson, MD
• Christie Davis, PHARMD
• Colette Davis
• Craig Stephen Davis, MD
• Lonetta Elise Davis
• Mary Louise Davis, CADCI
• Rhonda L Davis, CD(DONA) PCD(DONA)
• Tessa Davis, PT
• Y'Kirshia Davis

• Speech-Language Pathologist in Gresham, OR
• Providers in Gresham, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.