Individual provider Active NPI

Lashell Davis, LPN

  • Licensed Practical Nurse
  • Cincinnati, OH
National Provider Identifier
1033517065
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN152835-M-IV Issued in OH
Practice address
1017 Underwood PL
Cincinnati, OH 45204
Phone
(513) 349-2731
NPI assigned
Dec 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 152835 OH
Licensed Practical Nurse 164W00000X PN152835-M-IV OH Primary

Addresses

Primary practice location

1017 Underwood PL
Cincinnati, OH 45204

Mailing address

1017 Underwood PL
Cincinnati, OH 45204-1743
Phone (513) 349-2731

Other practice location 1

1665 Bruce Ave # 2
Cincinnati, OH 45223-2001
Phone (513) 349-2731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
152835OHMDLicensed Practical Nurse
PN152835-M-IVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1033517065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 UNDERWOOD PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452041743",
            "telephone_number": "513-349-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 UNDERWOOD PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45204",
            "telephone_number": "513-349-2731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1665 Bruce Ave # 2",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452232001",
            "country_code": "US",
            "telephone_number": "513-349-2731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LASHELL",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "152835",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN152835-M-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.