Chad E Davis, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71002747A Issued in IN

Practice address

1098 S State Road 25
Logansport, IN 46947-6723

Phone

(574) 722-4141

Fax

(574) 735-3414

NPI assigned

Jul 23, 2008

Last updated

Sep 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• State of Indiana, Auditor of State

  dba Madison State Hospital

  • Psychiatric Hospital
  • Madison, IN
  • NPI 1700876224
  Medicare reassignment NPD
• State of Indiana, Auditor of State

  dba Indiana Department of Health

  • Public Health or Welfare Agency
  • Indianapolis, IN
  • NPI 1023613403
  NPD
• State of Indiana, Auditor of State

  dba Logansport State Hospital

  • Intellectual Disabilities Intermediate Care Facility
  • Logansport, IN
  • NPI 1861511370
  NPD
• State of Indiana Auditor of State

  dba Indiana Veterans' Home

  • Nursing Facility/Intermediate Care Facility
  • West Lafayette, IN
  • NPI 1194778001
  NPD (past)

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1104081702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 S STATE ROAD 25",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469476723",
            "telephone_number": "574-722-4141",
            "fax_number": "574-735-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 S STATE ROAD 25",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469476723",
            "telephone_number": "574-722-4141",
            "fax_number": "574-735-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHAD",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002747A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Crume, MSW
• Glorisel Cruz Velez
• Rafael Cruz, M.D.
• Kayci Cunningham, BSW
• Curtis Kesling (Kesling Home Health Care)
• James R Davis, DO
• Levi Randall Davis Jr., RBT
• Monica Davis
• Jill L Day, PTA
• Hope Decker

• Nurse Practitioner in Logansport, IN
• Providers in Logansport, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.