Active NPI
Sara Davis, LPN
- Licensed Practical Nurse
- Wilmington, OH
National Provider Identifier
1336478098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN. 136344-IV
- Practice address
- 963 Xenia Ave
Apt. B
Wilmington, OH 45177-1676 - Phone
- (937) 944-0471
- NPI assigned
- Dec 9, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN. 136344-IV | OH | Primary |
Addresses
Primary practice location
963 Xenia Ave
Apt. B
Wilmington, OH 45177-1676
Mailing address
784 Piedmont St
Wilmington, OH 45177-2557
Phone (937) 527-0408
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. 136344-IV | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1336478098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "784 PIEDMONT ST",
"city": "WILMINGTON",
"state": "OH",
"postal_code": "451772557",
"telephone_number": "937-527-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "963 XENIA AVE",
"address_2": "APT. B",
"city": "WILMINGTON",
"state": "OH",
"postal_code": "451771676",
"telephone_number": "937-944-0471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SARA",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-09",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN. 136344-IV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.