Marie B Davis, BSW

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

914 Harrison Avenue
Panama City, FL 32401

Phone

(850) 819-9543

Fax

(850) 747-8547

NPI assigned

Jan 6, 2012

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1851661920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 N FEDERAL HWY",
            "address_2": "SUITE 2S",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646519",
            "telephone_number": "888-880-9270",
            "fax_number": "954-342-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 HARRISON AVENUE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32401",
            "telephone_number": "850-819-9543",
            "fax_number": "850-747-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARIE",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "BSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia A Davis, B.A.
• Kaitlyn Girard Davis, PA-C
• Kelly Mason Davis
• Kenny Davis
• Kriserica Dawn Davis, PTA
• Teresa Ann Davis, R.N.
• Christie Wheless Dawson, NNP
• Lisa Day, PTA
• Roy Whit Deal, MD
• Kala Dean

• Developmental Therapist in Panama City, FL
• Providers in Panama City, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.