Active NPI
Carlin E Davis, RN
- Psychiatric/Mental Health Registered Nurse
- Columbus, OH
National Provider Identifier
1265941637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN.419934
- Practice address
- 547 E 11TH Ave
Columbus, OH 43211-2603 - Phone
- (614) 224-4506
- Fax
- (614) 291-0118
- NPI assigned
- Sep 28, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN.419934 | OH | Primary |
Addresses
Primary practice location
547 E 11TH Ave
Columbus, OH 43211-2603
Mailing address
547 E 11TH Ave
Columbus, OH 43211-2603
Phone (614) 224-4506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0244255 | Medicaid | OH |
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.419934 | OH | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1265941637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "547 E 11TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432112603",
"telephone_number": "614-224-4506",
"fax_number": "614-291-0118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "547 E 11TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432112603",
"telephone_number": "614-224-4506",
"fax_number": "614-291-0118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CARLIN",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-28",
"last_updated": "2022-07-21",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "OH",
"license": "RN.419934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0244255",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.