Individual provider Active NPI

Monique Howard-Davis, PMHNP

  • Primary Care Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1093004483
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
COA.12265-NP Issued in OH
Practice address
2000 Auburn Dr
Beachwood, OH 44122-4314
Phone
(440) 221-1543
Fax
(440) 597-5343
NPI assigned
Apr 6, 2011
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12265 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN.299013 OH
Primary Care Nurse Practitioner 363LP2300X COA.12265-NP OH Primary

Addresses

Primary practice location

2000 Auburn Dr
Beachwood, OH 44122-4314

Mailing address

PO Box 772
Minuteclinic Credentialing
Woonsocket, RI 02895-6146
Phone (866) 389-2727

Other names 1

  • Monique Polk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110509000074 OH Practitioner - Nurse Practitioner 8224213210 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingston Care Partners, LLCGroup PAC ID 1850589102, 11 clinicians
Med Management Indiana PCGroup PAC ID 5698027266, 12 clinicians

Practice addresses (Care Compare)

4121 King Rd
Sylvania, OH 43560-4438
Phone (419) 517-8200

5200 Marymount Village Dr
Garfield Heights, OH 44125-2973
Phone (888) 365-6271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12265OHMDFamily Nurse Practitioner
RN.299013OHMDPsychiatric/Mental Health Nurse Practitioner
COA.12265-NPOHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Psychiatric Services Psychiatric/Mental Health CurrentSince Feb 12, 2025 Accepting new patients
Med Management Indiana PC CurrentSince Sep 1, 2025 Accepting new patients
Miller Psychiatric Services Psychiatric/Mental Health CurrentSince Feb 12, 2025 Accepting new patients
Emily Program P C CurrentSince Feb 3, 2022 Accepting new patients
Kingston Care Partners, LLC CurrentSince Mar 1, 2025 Accepting new patients
Crossroads Hospice of Northeast Ohio, LLC CurrentSince Nov 6, 2022 Accepting new patients
Peace of Mind Mental Health Practice CurrentSince Oct 1, 2022 Accepting new patients

Locations

2265 Como Ave
Saint Paul, MN 55108

23600 Cedar Rd
Beachwood, OH 44122

3401 Enterprise Pkwy
Ste 250
Beachwood, OH 44122
Phone (216) 765-0500

2000 Auburn Dr
Ste 200
Cleveland, OH 44122
Phone (216) 378-7633

8001 Ravines Edge Ct
Columbus, OH 43235
Phone (614) 896-8233

8001 Ravines Edge Ct
Ste 201
Columbus, OH 43235
Phone (614) 896-8222

5200 Marymount Village Dr
Garfield Heights, OH 44125
Phone (216) 332-1070

5300 Marymount Village Dr
Garfield Heights, OH 44125
Phone (216) 332-1607

3743 Boettler Oaks Dr
Ste E
Green, OH 44685
Phone (330) 899-9100

1120 Dunaway St
Miamisburg, OH 45342
Phone (937) 307-5949

4121 King Rd
Sylvania, OH 43560
Phone (419) 517-8200

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Interoperability endpoints

  • Direct secure messaging: mhoward@landmarkhealth-direct.org
  • Direct secure messaging: monique.howard@620407976427524.direct.elationemr.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1093004483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "address_2": "MINUTECLINIC CREDENTIALING",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "866-389-2727",
            "fax_number": "401-652-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 AUBURN DR",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224314",
            "telephone_number": "440-221-1543",
            "fax_number": "440-597-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD-DAVIS",
        "first_name": "MONIQUE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "12265",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN.299013",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "COA.12265-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIQUE",
            "last_name": "POLK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.