Active NPI
Jennifer P Davis, M.A.
- Audiologist
- Charleston, WV
National Provider Identifier
1881658367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A0169
- Practice address
- 318 Lee St W Ste 201
Charleston, WV 25302-2136 - Phone
- (304) 345-7102
- Fax
- (304) 345-7101
- NPI assigned
- Apr 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | A0169 | WV | Primary |
Addresses
Primary practice location
318 Lee St W Ste 201
Charleston, WV 25302-2136
Mailing address
318 Lee St W Ste 201
Charleston, WV 25302-2136
Phone (304) 345-7102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3404012000 | Medicaid | WV |
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 Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crigger and Associates ENT PLLC | Audiologist | Past | Accepting new patients |
| Advanced Professional Hearing Aid Services Inc. | Audiologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Audiologist
- Charleston, WV
- NPI 1629149455
-
- Otolaryngology Physician
- South Charleston, WV
- NPI 1306809215
Audiologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1881658367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 LEE ST W STE 201",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253022136",
"telephone_number": "304-345-7102",
"fax_number": "304-345-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 LEE ST W STE 201",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253022136",
"telephone_number": "304-345-7102",
"fax_number": "304-345-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JENNIFER",
"middle_name": "P",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WV",
"license": "A0169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3404012000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.