Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316663172 Individual Practitioner Female Practitioner

Caitlyn Elizabeth Davis

Peer Specialist • Logan, WV

Professional Overview & Biography Verified Profile Summary

Caitlyn Davis is a registered healthcare professional specializing in Peer Specialist in Logan, WV. Practice services are available at 174 LMAH CENTER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

174 Lmah Center Rd

Logan, WV 256014058

Telephone 3047927130
Fax 3048965184
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Logan, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
22 Specialists

Practicing in Logan, WV (921 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-14
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WV 25-973SUD

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Technician - Personal Care Attendant

NUCC Taxonomy Code: 3747P1801X

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID West Virginia Certification Board For Addiction And Prevention Professionals, In
25-973SUD (WV)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Dr. Antonio Diaz , MD

Psychiatry & Neurology - Psychiatry

NPI 1053339135

Doctor of Medicine (M.D.)

Ashton Williams

Case Manager/Care Coordinator

NPI 1083206205
Larry Fields , LICSW

Social Worker - Clinical

NPI 1104418847

Licensed Independent Clinical Social Worker

Takara Muncy

Nurse Practitioner - Family

NPI 1114671906
Ravenlou Wamsley

Peer Specialist

NPI 1134845373
Sharla Smith , PRSS

Peer Specialist

NPI 1154047066

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 14, 2025

Registered at 174 LMAH CENTER RD, LOGAN, WV 256014058 (Tel: 3047927130)

📍
Updated Business Mailing Address August 14, 2025

Registered at PO BOX 176, LOGAN, WV 256010176 (Tel: 3047927130)

NPI Profile Active October 13, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2022

Registered at 695 MOUNTAINEER HWY, MULLENS, WV 258820255 (Tel: 3042948800)

📍
Updated Business Mailing Address October 13, 2022

Registered at 695 MOUNTAINEER HWY, MULLENS, WV 258820255 (Tel: 3042948800)

👤
Provider Name / Credentials Updated October 13, 2022

Recorded as CAITLYN DAVIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2022

Technician

🟢
Initial NPI Registration & Enumeration October 13, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316663172
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2022
Last Update: August 14, 2025
Sole Proprietor: No

Mailing Address

Po Box 176

Logan, WV 256010176

Phone: 3047927130

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.