Active NPI
Desiree Davis
- Gerontology Nurse Practitioner
- Parma, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN.CNP.0027523
- Practice address
- 6681 Ridge Rd Ste 300
Parma, OH 44129-5705 - Phone
- (330) 668-6785
- NPI assigned
- Aug 5, 2020
- Last updated
- Aug 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | LE-00033452 | OH | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN.CNP.0027523 | OH | Primary |
Addresses
Primary practice location
6681 Ridge Rd Ste 300
Parma, OH 44129-5705
Mailing address
7923 Hoy CT
Cincinnati, OH 45231-3315
Phone (513) 393-1798
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 E State St
Suite 200
Columbus, OH 43215-0109
Phone (203) 666-8145
3239 Jefferson Ave
Suite 1
Cincinnati, OH 45220-2270
Phone 99799192769276
3366 Riverside Dr
Suite 103
Upper Arlington, OH 43221-1734
Phone (337) 991-9276
98 S 30TH St
Newark, OH 43055-1940
Phone (740) 344-0303
Merit-based Incentive Payment System (MIPS)
- Final score
- 57.66 of 100
- Quality
- 47.87
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 70.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0027523 | OH | MD | Gerontology Nurse Practitioner |
| LE-00033452 | OH | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medicine Inpatient Group, LLC | Current | Accepting new patients | |
| CH Specialty Services Oh LLC | Current | Accepting new patients | |
| Preferred Physician Services of Ohio LLC | Current | Accepting new patients | |
| In Good Care Transportation Company | Current | Accepting new patients | |
| Cornerstone Nurse Practitioners of Ohio LLC | Current | Accepting new patients | |
| Tapestry Telehealth PLLC | Current | Accepting new patients | |
| In Good Care Nurse Practitioner LLC | Gerontology | Past | Accepting new patients |
Locations
99 Hawley Ln
Ste 1102
Stratford, CT 06614
3239 Jefferson Ave
Ste 1
Cincinnati, OH 45220
Phone (997) 991-9276
21 E State St
Ste 200
Columbus, OH 43215
Phone (203) 568-6065
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
6730 Roosevelt Ave
Ste 303
Middletown, OH 45005
Phone (513) 618-7430
98 S 30th St
Newark, OH 43055
Phone (740) 344-0303
3366 Riverside Dr
Ste 103
Upper Arlington, OH 43221
Phone (617) 958-5697
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
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- NPI 1992215446
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1760114961
-
- Internal Medicine Physician
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- NPI 1326747734
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- Hospitalist Physician
- Middletown, OH
- NPI 1326227307
-
- Non-emergency Medical Transport (VAN)
- Cincinnati, OH
- NPI 1720652043
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- Gerontology Nurse Practitioner
- Cincinnati, OH
- NPI 1083537484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1245840024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7923 HOY CT",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452313315",
"telephone_number": "513-393-1798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6681 RIDGE RD STE 300",
"city": "PARMA",
"state": "OH",
"postal_code": "441295705",
"telephone_number": "330-668-6785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DESIREE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-05",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "LE-00033452",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "APRN.CNP.0027523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.