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Audrey K Davis , MS, CCC-SLP

Speech-Language Pathologist β€’ Roanoke, VA

Active NPI 1912201237 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1009 Old Country Club Rd Nw
Roanoke, VA 240172927

Call 5407676800 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1009 Old Country Club Rd Nw

Roanoke, VA 240172927

Telephone 5407676800
Organization at the Same NPPES Address or Phone
Virginia United Methodist Homes, Inc. Facility NPI 1073732657

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Blue Ridge, VA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Functional Pathways Preferred Of Tennessee Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1995

Years since graduation

31 years (graduated 1995)

CMS Doctors and Clinicians data list 1995 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Audrey Davis has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Roanoke and Virginia

162 active clinicians are listed under Speech-Language Pathologist with a practice address in Roanoke, VA (4,943 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Roanoke

0% of these 162 clinicians have the CMS telehealth indicator.

4.3% of these 162 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-10-21
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES VA 2202002584

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES None 01105990

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20241125000778

Enrollment State Jurisdiction

VA

PECOS Control ID

2163957309

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Functional Pathways Preferred Of Tennessee Llc

3317 Ocean Shore Ave, Virginia Beach, VA 234511683

Phone: 8885312204

Functional Pathways Preferred Of Tennessee Llc

1009 Old Country Club Rd Nw, Roanoke, VA 240172927

Phone: 8885312204

Secondary Practice Locations

83 Timberline Dr

Blue Ridge, VA 240641601

Phone: 5405253260

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Jenna Abrahamsen , MS, CF-SLP

Speech-Language Pathologist

NPI 1265108914

Master of Science, Clinical Fellow in Speech-Language Pathology

Alison Maruszczak

Speech-Language Pathologist

NPI 1457974461
Stefanie Smith , MS CCC-SLP

Speech-Language Pathologist

NPI 1710602230

MSCCCSLP

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location October 21, 2024

Registered at 1009 OLD COUNTRY CLUB RD NW, ROANOKE, VA 240172927 (Tel: 5407676800)

πŸ‘€
Provider Name / Credentials Updated October 21, 2024

Recorded as AUDREY DAVIS, M.S., CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2024

Speech-Language Pathologist

βœ…
NPI Profile Active December 29, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 29, 2010

Registered at 83 TIMBERLINE DR, BLUE RIDGE, VA 240641601 (Tel: 5405253260)

πŸ“
Business Mailing Address (Initial Record) December 29, 2010

Registered at 83 TIMBERLINE DR, BLUE RIDGE, VA 240641601 (Tel: 5405253260)

πŸ‘€
Provider Name / Credentials (Initial Record) December 29, 2010

Recorded as AUDREY WILLIAMS, M.S.,CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2010

Speech-Language Pathologist (license number reported to NPPES: VA 2202002584)

🟒
Initial NPI Registration & Enumeration December 29, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1912201237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2010
Last Update: October 21, 2024
Sole Proprietor: Yes

Other Speech-Language Pathologists in Roanoke

All Speech-Language Pathologists in Roanoke

Mailing Address

83 Timberline Dr

Blue Ridge, VA 240641601

Phone: 5405253260

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.