Active NPI
Danielle Alexandra Davis
- Speech-Language Pathologist
- Valhalla, NY
National Provider Identifier
1851672000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 022163-1
- Practice address
- 70 Columbus Ave
Valhalla, NY 10595-1753 - Phone
- (914) 328-1578
- NPI assigned
- Sep 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 022163-1 | NY | Primary |
Addresses
Primary practice location
70 Columbus Ave
Valhalla, NY 10595-1753
Mailing address
24 Grandview Dr
Mahopac, NY 10541-4112
Phone (201) 410-0479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03630031 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022163-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405814400000",
"number": "1851672000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 GRANDVIEW DR",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "105414112",
"telephone_number": "201-410-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 COLUMBUS AVE",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951753",
"telephone_number": "914-328-1578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DANIELLE",
"middle_name": "ALEXANDRA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-01",
"last_updated": "2014-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "022163-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03630031",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.