Active NPI
Sandra L Davis, RN
- Case Management Registered Nurse
- Cleveland, OH
National Provider Identifier
1386270122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 409227
- Practice address
- 1001 Lakeside Ave E Ste 1000
Cleveland, OH 44114-1162 - Phone
- (440) 251-7929
- NPI assigned
- Mar 12, 2020
- 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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 409227 | OH | Primary |
Addresses
Primary practice location
1001 Lakeside Ave E Ste 1000
Cleveland, OH 44114-1162
Mailing address
1001 Lakeside Ave E Ste 1000
Cleveland, OH 44114-1162
Phone (440) 251-7929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409227 | Other | OH | THE OHIO BOARD OF NURSING |
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 |
|---|---|---|---|
| 409227 | OH | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1386270122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 LAKESIDE AVE E STE 1000",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441141162",
"telephone_number": "440-251-7929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 LAKESIDE AVE E STE 1000",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441141162",
"telephone_number": "440-251-7929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SANDRA",
"middle_name": "L",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-12",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "OH",
"license": "409227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE OHIO BOARD OF NURSING",
"identifier": "409227",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.