Individual provider Active NPI

Desiree Davis

  • Gerontology Nurse Practitioner
  • Parma, OH
National Provider Identifier
1245840024
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.0027523 Issued in OH
Practice address
6681 Ridge Rd Ste 300
Parma, OH 44129-5705
Phone
(330) 668-6785
NPI assigned
Aug 5, 2020
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201001000783 OH Practitioner - Nurse Practitioner 7012336621 Reassigns benefits to 6 organizations

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
Tapestry Telehealth PLLCGroup PAC ID 4789942335, 80 clinicians
Curana Health of OhioGroup PAC ID 3375924301, 51 clinicians
Preferred Physician Services of Ohio LLCGroup PAC ID 7315328069, 66 clinicians
Cornerstone Nurse Practitioners of Ohio LLCGroup PAC ID 0840607008, 13 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
APRN.CNP.0027523OHMDGerontology Nurse Practitioner
LE-00033452OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medicine Inpatient Group, LLC CurrentSince Mar 1, 2023 Accepting new patients
CH Specialty Services Oh LLC CurrentSince Oct 7, 2025 Accepting new patients
Preferred Physician Services of Ohio LLC CurrentSince Oct 7, 2025 Accepting new patients
In Good Care Transportation Company CurrentSince Jan 1, 2022 Accepting new patients
Cornerstone Nurse Practitioners of Ohio LLC CurrentSince Nov 1, 2021 Accepting new patients
Tapestry Telehealth PLLC CurrentSince Sep 27, 2025 Accepting new patients
In Good Care Nurse Practitioner LLC Gerontology PastSince Aug 9, 2020 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.