Active NPI
Jaclyn Davis, RN
- Registered Nurse
- Pickerington, OH
National Provider Identifier
1093383499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.462530
- Practice address
- 144 Pickerington Ridge Dr
Pickerington, OH 43147-8076 - Phone
- (614) 394-7286
- NPI assigned
- Jun 14, 2021
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.462530 | OH | Primary |
Addresses
Primary practice location
144 Pickerington Ridge Dr
Pickerington, OH 43147-8076
Mailing address
144 Pickerington Ridge Dr
Pickerington, OH 43147-8076
Phone (614) 394-7286
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | JaclynDavis.RN@gmail.com | Health Information Exchange (HIE) |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.462530 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1093383499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 PICKERINGTON RIDGE DR",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431478076",
"telephone_number": "614-394-7286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 PICKERINGTON RIDGE DR",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431478076",
"telephone_number": "614-394-7286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JACLYN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.462530",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "JaclynDavis.RN@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "144 Pickerington Ridge Dr",
"city": "Pickerington",
"state": "OH",
"country_code": "US",
"postal_code": "431478076",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pickerington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.