Individual provider Active NPI

Lindsey Nicole Davis, D.O.

  • Internal Medicine Physician
  • Beavercreek, OH
National Provider Identifier
1437682788
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.014446 Issued in OH
Practice address
2510 Commons Blvd Ste 210
Beavercreek, OH 45431-3821
Phone
(937) 429-0607
NPI assigned
Apr 4, 2017
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34.014446 OH Primary

Addresses

Primary practice location

2510 Commons Blvd Ste 210
Beavercreek, OH 45431-3821

Mailing address

466 Meadowview CT
Vandalia, OH 45377-1865

Other practice location 1

600 W Main St
Troy, OH 45373-3384
Phone (937) 395-6665

Other names 1

  • Lindsey Nicole Acton Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ldavis589054@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Marian University College of Osteopathic Medicine, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1100 Southfield Dr
Suite 1370
Plainfield, IN 46168-4300

190 Winding Creek Dr
Springboro, OH 45066-8200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.014446OHMDInternal Medicine Physician

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1437682788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 MEADOWVIEW CT",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 COMMONS BLVD STE 210",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313821",
            "telephone_number": "937-429-0607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W Main St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453733384",
            "country_code": "US",
            "telephone_number": "937-395-6665",
            "fax_number": "937-395-6668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LINDSEY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.014446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldavis589054@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "600 W Main St",
            "city": "Troy",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453733384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "600 W Main St",
            "city": "Troy",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453733384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "ACTON",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.