VALERIE DAVIDSON DO
NPI 1215519913
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Valerie Davidson's NPI number?

The NPI number for Valerie Davidson is 1215519913. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Q: What is Valerie Davidson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Valerie Davidson was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 22, 2021PECOS Enrolled

22101 MOROSS RD, DETROIT, MI 48236(313) 343-7110 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Valerie Davidson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VALERIE DAVIDSON DO (NPI 1215519913) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215519913

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameVALERIE DAVIDSONCredential: DO

Location Address22101 MOROSS RDDetroit, MI 48236-2148

Mailing Address1545 Wigwam Pkwy Apt 2526Henderson, NV 89074-8288 · (630) 624-7502

Phone(313) 343-7110

Sole ProprietorYes

Enumeration DateApril 22, 2021

NPPES CertifiedApril 22, 2021

✔ NPI 1215519913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

22101 MOROSS RD, Detroit, MI 48236

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Valerie Davidson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY DECAROLIS LMSW, ACSW

Social Worker (Clinical)