Individual provider Active NPI

Lisadarling Davis

  • Psychiatric/Mental Health Nurse Practitioner
  • Blacklick, OH
National Provider Identifier
1366622748
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0038664 Issued in OH
Practice address
PO Box 23
Blacklick, OH 43004-0023
Phone
(380) 265-6282
NPI assigned
Nov 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 107745 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0038664 OH Primary

Addresses

Primary practice location

PO Box 23
Blacklick, OH 43004-0023

Mailing address

PO Box 23
Blacklick, OH 43004-0023
Phone (380) 265-6282

Other identifiers 1

IdentifierTypeStateIssuer
2433352MedicaidOH

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
I20250818000737 OH Practitioner - Nurse Practitioner 6507365509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Healthcare Partners of Central Ohio IncGroup PAC ID 3971499385, 28 clinicians

Practice addresses (Care Compare)

65 Messimer Dr
Newark, OH 43055-1874
Phone (740) 522-8477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107745OHMDLicensed Practical Nurse
0038664OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Healthcare Partners of Central Ohio Inc CurrentSince Jul 11, 2025 Accepting new patients

Locations

8402 Blackjack Rd
Mount Vernon, OH 43050
Phone (740) 397-0442

65 Messimer Dr
Newark, OH 43055
Phone (740) 788-3400

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1366622748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430040023",
            "telephone_number": "380-265-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 23",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430040023",
            "telephone_number": "380-265-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LISADARLING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "107745",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0038664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2433352",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacklick, OH

Sources for this page

Verify at the official NPI Registry.