Jennifer A Davis

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0003560 Issued in CO

Practice address

18551 E. 160TH Avenue
Brighton, CO 80601-3295

Phone

(219) 513-8311

NPI assigned

Aug 3, 2017

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Milestone Therapy

  • Pediatric Physical Therapist
  • Highland, IN
  • NPI 1396814828

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1881119592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 CALUMET AVE",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739773",
            "telephone_number": "219-488-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18551 E. 160TH AVENUE",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013295",
            "telephone_number": "219-513-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0003560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E. Rose
• David G Sabott
• David Rose
• Lesliann Davila-Santiago, PSYD
• David Davis
• Marti Rue Davis, M.D.
• DB Physical Therapy, Inc.
• Stephanie Suzanne De la Rosa, OTR
• Ana Paula De Oliveira Pereira, MD
• David Lee Debord, PHD

• Speech-Language Pathologist in Brighton, CO
• Providers in Brighton, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.