Natasha Nicole Davis, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4707 Issued in TN

Practice address

100 N Humphreys Blvd
Memphis, TN 38120-2146

Phone

(901) 747-1800

Fax

(901) 747-1801

NPI assigned

Nov 16, 2007

Sex

Female

Sole proprietor

Yes

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapeutic Alliance

  dba Therapeutic & Educational Solutions

  • Orthopedic Physical Therapist
  • West Memphis, AR
  • NPI 1003219510

  Speech-Language Pathologist

  NPD (past)
• Therapeutic Focus, L.L.C.

  • Occupational Therapist
  • West Memphis, AR
  • NPI 1972875896

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1952582082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N MISSOURI ST",
            "address_2": "SUITE 1",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013148",
            "telephone_number": "870-400-0179",
            "fax_number": "870-400-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202146",
            "telephone_number": "901-747-1800",
            "fax_number": "901-747-1801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 N Missouri St",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "West Memphis",
            "state": "AR",
            "postal_code": "723013148",
            "country_code": "US",
            "telephone_number": "870-400-0179",
            "fax_number": "870-400-0479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NATASHA",
        "middle_name": "NICOLE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#2929",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH THERAPY",
            "identifier": "SP#2929",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew J Davis, M.D.
• Megan Leigh Davis, FNP
• Milton Davis Jr., PHARMD
• Morgan Davis, ATC
• Narika Davis, SLP
• Nikki Davis
• Omar Rashad Davis, M.D.
• Pierre D Davis, RBT
• Raquel Davis
• Rebekah Short Davis, LPC/MHSP

• Speech-Language Pathologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.