Active NPI
Ethylwyn Davis
- Case Manager/Care Coordinator
- Lexington, KY
National Provider Identifier
1073422556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1890 Linton Rd
Lexington, KY 40505-1652 - Phone
- (859) 913-5146
- NPI assigned
- Sep 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | KY | Primary |
Addresses
Primary practice location
1890 Linton Rd
Lexington, KY 40505-1652
Mailing address
1890 Linton Rd
Lexington, KY 40505-1652
Phone (859) 913-5146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1073422556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1890 LINTON RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405051652",
"telephone_number": "859-913-5146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 LINTON RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405051652",
"telephone_number": "859-913-5146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ETHYLWYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.