Active NPI
Jessica Marie Davies
- Clinical Nurse Specialist
- Sidney, OH
National Provider Identifier
1700343456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- PN.157337
- Practice address
- 1101 N Vandemark Rd
Sidney, OH 45365-3567 - Phone
- (937) 710-4616
- NPI assigned
- Feb 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | PN.157337 | OH | Primary |
Addresses
Primary practice location
1101 N Vandemark Rd
Sidney, OH 45365-3567
Mailing address
530 S Main St
Lima, OH 45804-1240
Phone (419) 222-1168
Other practice location 1
530 S Main St
Lima, OH 45804-1240
Phone (419) 222-1168
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
| License | State | Type | Specialty |
|---|---|---|---|
| PN.157337 | OH | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1700343456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 S MAIN ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458041240",
"telephone_number": "419-222-1168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N VANDEMARK RD",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453653567",
"telephone_number": "937-710-4616"
}
],
"practiceLocations": [
{
"address_1": "530 S Main St",
"address_purpose": "LOCATION",
"city": "Lima",
"state": "OH",
"postal_code": "458041240",
"country_code": "US",
"telephone_number": "419-222-1168",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIES",
"first_name": "JESSICA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-28",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "OH",
"license": "PN.157337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sidney, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.