Active NPI
Dominique Antoinette Davett
- Day Training/Habilitation Specialist
- Roseville, CA
National Provider Identifier
1952093668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 101 Cirby Hills Dr
Roseville, CA 95678-4360 - Phone
- (530) 301-4493
- NPI assigned
- May 22, 2023
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | CA | ||
| Day Training/Habilitation Specialist | 373H00000X | Primary |
Addresses
Primary practice location
101 Cirby Hills Dr
Roseville, CA 95678-4360
Mailing address
101 Cirby Hills Dr
Roseville, CA 95678-4360
Phone (530) 301-4493
Other practice location 1
2209 Plaza Dr Ste 100
Rocklin, CA 95765-4419
Phone (888) 922-2843
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1952093668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CIRBY HILLS DR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956784360",
"telephone_number": "530-301-4493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CIRBY HILLS DR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956784360",
"telephone_number": "530-301-4493"
}
],
"practiceLocations": [
{
"address_1": "2209 Plaza Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Rocklin",
"state": "CA",
"postal_code": "957654419",
"country_code": "US",
"telephone_number": "888-922-2843",
"fax_number": "855-568-2494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVETT",
"first_name": "DOMINIQUE",
"middle_name": "ANTOINETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-22",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.