Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Audrey K Davis, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1912201237

MS. Audrey K Davis, MS, CCC-SLP is a Qualified Speech Language Pathologist in Roanoke, Virginia. Qualified in 1995, 31 years ago. Practices with Functional Pathways Preferred of Tennessee LLC, a 192-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
31
Licensed in
VA
In the registry since
2010
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1009 Old Country Club Rd NW
Roanoke, VA 24017-2927
Phone: (540) 767-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 83 Timberline Dr, Blue Ridge, VA 24064-1601 — (540) 525-3260

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2202002584 (VA)
Speech-Language Pathologist Taxonomy 235Z00000X
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 01105990

Record details

NPI number1912201237
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedDecember 29, 2010
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Functional Pathways Preferred Of Tennessee Llc — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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