Karen Davis, M.ED.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10621 Issued in NC

Practice address

582C Farringdom St
Lumberton, NC 28358-2615

Phone

(910) 735-1101

Fax

(910) 735-1103

NPI assigned

Dec 5, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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.

• Southeastern Speech Inc

  • Speech-Language Pathologist
  • Lumberton, NC
  • NPI 1235115510
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1922166594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582C FARRINGDOM ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582615",
            "telephone_number": "910-735-1101",
            "fax_number": "910-735-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582C FARRINGDOM ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582615",
            "telephone_number": "910-735-1101",
            "fax_number": "910-735-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KAREN",
        "credential": "M.ED.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005365",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000961683D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Field Davis, DO
• Grace Davis
• Jason Evan Davis, M.D.
• Jonna Morrison Davis, MSW
• Joseph E Davis Jr., LCSW
• Matthew Scott Davis, P.A.
• Shnika Davis
• Strange Lamil Dawkins, DPT
• Candace Locklear Dean, FNP
• Christian T Debeck, M.D.

• Speech-Language Pathologist in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.