Individual provider Active NPI

Brittany Lynn Davis

  • Licensed Practical Nurse
  • Hillsboro, OH
National Provider Identifier
1427664432
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
174517 Issued in OH
Practice address
104 Erin CT
Hillsboro, OH 45133-8591
Phone
(937) 393-9720
Fax
(937) 393-9703
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 174517 OH Primary

Addresses

Primary practice location

104 Erin CT
Hillsboro, OH 45133-8591

Mailing address

PO Box 823
Hillsboro, OH 45133-0823
Phone (937) 393-4562

Other practice location 1

313 Chillicothe Ave
Hillsboro, OH 45133-7378
Phone (937) 393-4562

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

LicenseStateTypeSpecialty
174517OHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
FRS Counseling CurrentSince Sep 20, 2020 Accepting new patients
FRS Counseling CurrentSince Aug 14, 2022 Accepting new patients

Locations

104 Erin Ct
Hillsboro, OH 45133
Phone (937) 393-4562

313 Chillicothe Ave
Hillsboro, OH 45133
Phone (937) 393-4562

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/frscounseling/r4/

Organizations & group practices 2

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1427664432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 823",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451330823",
            "telephone_number": "937-393-4562",
            "fax_number": "937-393-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ERIN CT",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338591",
            "telephone_number": "937-393-9720",
            "fax_number": "937-393-9703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 Chillicothe Ave",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OH",
            "postal_code": "451337378",
            "country_code": "US",
            "telephone_number": "937-393-4562",
            "fax_number": "937-393-2056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BRITTANY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "174517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.