NPIMap

Organization Active NPI

Shannon Davis Private Nursing Care

  • Nursing Care Agency
  • Hamilton, OH
National Provider Identifier
1063887180
Registry record updated Dec 1, 2015
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Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
119585 Issued in OH
Legal business name
SHANNON DAVIS PRIVATE NURSING CARE
Practice address
5814 Green Crest Dr
Hamilton, OH 45011-2222
Phone
(513) 608-3620
NPI assigned
Dec 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Shannon Nicole Davis
Title
LPN
Phone
(513) 608-3620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 119585 OH Primary

Addresses

Primary practice location

5814 Green Crest Dr
Hamilton, OH 45011-2222

Mailing address

5814 Green Crest Dr
Hamilton, OH 45011-2222
Phone (513) 608-3620

Other identifiers 1

IdentifierTypeStateIssuer
166946MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1063887180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 GREEN CREST DR",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112222",
            "telephone_number": "513-608-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 GREEN CREST DR",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112222",
            "telephone_number": "513-608-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON DAVIS PRIVATE NURSING CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "513-608-3620"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OH",
            "license": "119585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166946",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.