Kelle L Davis, HAD

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA6083 Issued in CA

Practice address

1767 E Main St
El Cajon, CA 92021-5219

Phone

(619) 440-6516

Fax

(619) 440-6547

NPI assigned

May 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles (2 of 3)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• American Hearing Aid Center of the South Bay, Inc

  • Audiologist-Hearing Aid Fitter
  • San Diego, CA
  • NPI 1093091662
  NPD (past)
• Serendipity Hearing Inc

  • Hearing Aid Equipment
  • Westminister, CA
  • NPI 1760783344

  Hearing Instrument Specialist

  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1902853344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12927 SLEEPY WIND ST",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212935",
            "telephone_number": "310-989-3092",
            "fax_number": "805-530-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 E MAIN ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215219",
            "telephone_number": "619-440-6516",
            "fax_number": "619-440-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KELLE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "HAD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA6083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA0060830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Davis
• Christine Davis
• Isabella Davis
• Judy Anne Davis, LCSW
• Kaylla Davis, ASW
• Kimberly Denise Davis
• Marijo D. Davis, L.V.N.
• Shayna Eden Davis, PSY.D., RPS
• Yelena Davydova, OD
• Rana Dawood-Noaman

• All providers in El Cajon, CA
• Hearing Instrument Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.