Individual provider Active NPI

Mary Cavanaugh Davies, MD

  • Internal Medicine Physician
  • Yakima, WA
National Provider Identifier
1851898845
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD61082126 Issued in WA
Practice address
12 S 8TH St
Yakima, WA 98901-3020
Phone
(509) 454-4143
Fax
(509) 454-4115
NPI assigned
Apr 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD61082126 WA Primary

Addresses

Primary practice location

12 S 8TH St
Yakima, WA 98901-3020

Mailing address

PO Box 2605
Yakima, WA 98907-2605
Phone (509) 454-4143

Other practice location 1

602 E Nob Hill Blvd
Yakima, WA 98901-3534
Phone (509) 248-3334

Other practice location 2

60 Haven Ave Apt 31D
New York, NY 10032-0573
Phone (267) 243-0368

Other practice location 3

1600 S Columbian Way
Seattle, WA 98108
Phone (800) 329-8387 ext. 71234

Other practice location 4

60 Haven Ave Apt 31D
New York, NY 10032-0573
Phone (267) 243-0368

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdavies39523@yvfwc.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220901000897 WA Practitioner - Internal Medicine 8921418138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakima Neighborhood Health ServicesGroup PAC ID 6709786585, 23 clinicians

Practice addresses (Care Compare)

12 S 8TH St
Yakima, WA 98901-3020
Phone (509) 454-4143

Hospital & facility affiliations

  • Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Neighborhood Health Services CurrentSince Sep 3, 2024 Accepting new patients
Yakima Neighborhood Health Services Current Accepting new patients
Yakima Neighborhood Health Services CurrentSince Sep 3, 2024 Accepting new patients
Yakima Neighborhood Health Services Past Accepting new patients

Locations

102 S Naches Ave
Yakima, WA 98901
Phone (509) 248-1800

12 S 8th St
Yakima, WA 98901

Interoperability endpoints

  • Direct secure messaging: mdavies39523@yvfwc.direct-ci.com
  • Direct secure messaging: mary.davies.p8@direct.ynhs.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1851898845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2605",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989072605",
            "telephone_number": "509-454-4143",
            "fax_number": "509-454-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S 8TH ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989013020",
            "telephone_number": "509-454-4143",
            "fax_number": "509-454-4115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 E Nob Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989013534",
            "country_code": "US",
            "telephone_number": "509-248-3334",
            "fax_number": "509-453-6144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Haven Ave Apt 31D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100320573",
            "country_code": "US",
            "telephone_number": "267-243-0368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 S Columbian Way",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98108",
            "country_code": "US",
            "telephone_number": "800-329-8387 x71234",
            "fax_number": "206-764-2936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Haven Ave Apt 31D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100320573",
            "country_code": "US",
            "telephone_number": "267-243-0368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "MARY",
        "middle_name": "CAVANAUGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-07",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61082126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdavies39523@yvfwc.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "YVFWC Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "602 E Nob Hill Blvd",
            "city": "Yakima",
            "state": "WA",
            "country_code": "US",
            "postal_code": "989013534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.