Organization Active NPI

NP Health Services LLC

  • Adult Health Clinical Nurse Specialist
  • Youngstown, OH
National Provider Identifier
1689959868
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
NP06525 Issued in OH
Legal business name
NP HEALTH SERVICES LLC
Practice address
216 Terra Bella Dr
Youngstown, OH 44505-1045
Phone
(330) 506-7514
Fax
(234) 254-8026
NPI assigned
Oct 19, 2011
Last updated
Oct 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Jaymie R Davis
Title
Manager
Phone
(330) 520-2221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X NP06525 OH Primary

Addresses

Primary practice location

216 Terra Bella Dr
Youngstown, OH 44505-1045

Mailing address

PO Box 5254
Poland, OH 44514-0254
Phone (330) 506-7514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120307000742 OH Part B Supplier - Clinic/Group Practice 3375702582 Receives reassigned benefits from 1 practitioner
Practice locations: Youngstown, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1689959868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5254",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445140254",
            "telephone_number": "330-506-7514",
            "fax_number": "234-254-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 TERRA BELLA DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051045",
            "telephone_number": "330-506-7514",
            "fax_number": "234-254-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NP HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAYMIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "330-520-2221"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OH",
            "license": "NP06525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.