Individual provider Active NPI

Andrea Isabella Davila Bocaranda

  • Student in an Organized Health Care Education/Training Program
  • Dayton, OH
National Provider Identifier
1396612909
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Wright State University
117 Health Sciences BLDG. 3640 Colonel Glenn Hwy.
Dayton, OH 45435-0001
Phone
(937) 775-3458
NPI assigned
Oct 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH Primary

Addresses

Primary practice location

Wright State University
117 Health Sciences BLDG. 3640 Colonel Glenn Hwy.
Dayton, OH 45435-0001

Mailing address

Wright State University
117 Health Sciences BLDG. 3640 Colonel Glenn Hwy.
Dayton, OH 45435-0001

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

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1396612909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WRIGHT STATE UNIVERSITY",
            "address_2": "117 HEALTH SCIENCES BLDG. 3640 COLONEL GLENN HWY.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454350001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WRIGHT STATE UNIVERSITY",
            "address_2": "117 HEALTH SCIENCES BLDG. 3640 COLONEL GLENN HWY.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454350001",
            "telephone_number": "937-775-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA BOCARANDA",
        "first_name": "ANDREA",
        "middle_name": "ISABELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.