Active NPI
Villa Janine Davis, LPN
- Licensed Practical Nurse
- Woodmere, OH
National Provider Identifier
1194950469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN. 117942
- Practice address
- 27621 Chagrin Blvd
Apt. # 229
Woodmere, OH 44122-4420 - Phone
- (216) 322-0364
- Fax
- (216) 342-4714
- NPI assigned
- May 15, 2009
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN. 117942 | OH | Primary |
Addresses
Primary practice location
27621 Chagrin Blvd
Apt. # 229
Woodmere, OH 44122-4420
Mailing address
27621 Chagrin Blvd.
Apt. # 229
Woodmere, OH 44122-4491
Phone (216) 322-0364
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN. 117942 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242345600000",
"number": "1194950469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27621 CHAGRIN BLVD.",
"address_2": "APT. # 229",
"city": "WOODMERE",
"state": "OH",
"postal_code": "441224491",
"telephone_number": "216-322-0364",
"fax_number": "216-342-4714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27621 CHAGRIN BLVD",
"address_2": "APT. # 229",
"city": "WOODMERE",
"state": "OH",
"postal_code": "441224420",
"telephone_number": "216-322-0364",
"fax_number": "216-342-4714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "VILLA",
"middle_name": "JANINE",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-15",
"last_updated": "2009-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN. 117942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodmere, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.