Individual provider Active NPI

Raquel Anita Davis, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bedford Heights, OH
National Provider Identifier
1326306069
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0036127 Issued in OH
Practice address
22072 Marberry CMNS
Bedford Heights, OH 44146-6800
Phone
(216) 376-2916
NPI assigned
May 1, 2012
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0036127 OH Primary

Addresses

Primary practice location

22072 Marberry CMNS
Bedford Heights, OH 44146-6800

Mailing address

24500 Center Ridge Rd Ste 200
Westlake, OH 44145-5630
Phone (440) 201-4488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0036127OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Cle Counseling LLC CurrentSince Jun 3, 2025 Accepting new patients

Locations

24500 Center Ridge Rd
Ste 200
Westlake, OH 44145
Phone (440) 201-4488

Organizations & group practices 1

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": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1326306069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24500 CENTER RIDGE RD STE 200",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455630",
            "telephone_number": "440-201-4488",
            "fax_number": "440-385-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22072 MARBERRY CMNS",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441466800",
            "telephone_number": "216-376-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RAQUEL",
        "middle_name": "ANITA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-01",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0036127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Heights, OH

Sources for this page

Verify at the official NPI Registry.