Active NPI
Katie Davey
- Speech-Language Pathologist
- Rochester, NY
National Provider Identifier
1891193090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 029793
- Practice address
- 18 Citrus Dr
Rochester, NY 14606-4333 - Phone
- (585) 469-9121
- NPI assigned
- Dec 21, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 109686 | TX | |
| Speech-Language Pathologist | 235Z00000X | 029793 | NY | Primary |
Addresses
Primary practice location
18 Citrus Dr
Rochester, NY 14606-4333
Mailing address
18 Citrus Dr
Rochester, NY 14606-4333
Phone (585) 469-9121
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029793 | NY | MD | Speech-Language Pathologist |
| 109686 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1891193090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CITRUS DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146064333",
"telephone_number": "585-469-9121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 CITRUS DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146064333",
"telephone_number": "585-469-9121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVEY",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-21",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "109686",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "029793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.