Carolyn Gwenyth Davis, M.ED., ED.S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

0803000143 Issued in VA

Practice address

281 Independence Blvd
Suite 326
Virginia Beach, VA 23462-2986

Phone

(757) 490-0377

Fax

(757) 497-1327

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972655140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 WOODGROVE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234642008",
            "telephone_number": "757-424-9703",
            "fax_number": "757-424-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 INDEPENDENCE BLVD",
            "address_2": "SUITE 326",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622986",
            "telephone_number": "757-490-0377",
            "fax_number": "757-497-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CAROLYN",
        "middle_name": "GWENYTH",
        "name_prefix": "Ms.",
        "credential": "M.ED., ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "0803000143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breana Diamond Davis-Green
• Alexis Davis
• Alison Davis
• Brittani Brianna Davis
• Capreia Davis
• Chrystal N Davis, LPC
• Ciera Pilcher Davis, DNP, FNP-BC
• Courtney Lenora Davis, MSN, APRN,PMHNP-BC,
• Dana Amelia Davis, SLP-CCC
• Daniel Wayne Davis

• School Psychologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• School Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.