Individual provider Active NPI

Ashlynn Renee Davis, REGISTERED NURSE

  • Nurse's Aide
  • Columbus, OH
National Provider Identifier
1700174919
Registry record updated Mar 18, 2021
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Oct 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
401244750511 Issued in OH
Practice address
6230 Busch Blvd Ste 217
Columbus, OH 43229-1863
Phone
(614) 505-6007
NPI assigned
Jul 21, 2011
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 401244750511 OH Primary

Addresses

Primary practice location

6230 Busch Blvd Ste 217
Columbus, OH 43229-1863

Mailing address

6230 Busch Blvd Ste 217
Columbus, OH 43229-1863
Phone (614) 584-4726

Other practice location 1

4702 Castlebrook Dr
Columbus, OH 43229-6500
Phone (614) 584-4726

Other identifiers 2

IdentifierTypeStateIssuer
0402859MedicaidOH
5138336MedicaidOH

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
401244750511OHMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Mathais Home Health, LLC CurrentSince Dec 5, 2021 Accepting new patients

Locations

6230 Busch Blvd
Ste 217
Columbus, OH 43229
Phone (614) 505-6007

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1700174919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 BUSCH BLVD STE 217",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291863",
            "telephone_number": "614-584-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 BUSCH BLVD STE 217",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291863",
            "telephone_number": "614-505-6007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4702 Castlebrook Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432296500",
            "country_code": "US",
            "telephone_number": "614-584-4726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ASHLYNN",
        "middle_name": "RENEE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401244750511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0402859",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5138336",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.