Individual provider Active NPI

Patricia Davidson, NP

  • Acute Care Nurse Practitioner
  • Waterford, OH
National Provider Identifier
1851797377
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.16796 Issued in OH
Practice address
151 Anderson LN
Waterford, OH 45786-5312
Phone
(740) 984-2332
Fax
(740) 984-4435
NPI assigned
Nov 11, 2014
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.16796 OH
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.16796 OH Primary

Addresses

Primary practice location

151 Anderson LN
Waterford, OH 45786-5312

Mailing address

416 Colegate Dr BLDG 3
Marietta, OH 45750-9549
Phone (740) 374-3526

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patricia.davidson@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150311001587 OH Practitioner - Nurse Practitioner 4082930912 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

151 Anderson LN
Waterford, OH 45786-5312
Phone (740) 984-2332

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.16796OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Selby General Hospital Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
Marietta Memorial Hospital Multi-Specialty CurrentSince Nov 19, 2016 Accepting new patients
Selby General Hospital CurrentSince May 1, 2025 Accepting new patients
Selby General Hospital CurrentSince May 1, 2025 Accepting new patients
Marietta Memorial Hospital Multi-Specialty CurrentSince Nov 19, 2016 Accepting new patients

Locations

1106 Colegate Dr
Marietta, OH 45750
Phone (740) 374-7700

400 Matthew St
Ste 101
Marietta, OH 45750
Phone (740) 568-4150

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

701 Hildreth Ln
Marietta, OH 45750
Phone (740) 371-7194

40 White Oak Professional Ctr
Vincent, OH 45784
Phone (740) 678-2374

151 Anderson Ln
Waterford, OH 45786
Phone (740) 984-2332

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1851797377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 COLEGATE DR BLDG 3",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509549",
            "telephone_number": "740-374-3526",
            "fax_number": "740-374-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 ANDERSON LN",
            "city": "WATERFORD",
            "state": "OH",
            "postal_code": "457865312",
            "telephone_number": "740-984-2332",
            "fax_number": "740-984-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "PATRICIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.16796",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.16796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patricia.davidson@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "151 Anderson Ln",
            "city": "Waterford",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457865312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterford, OH

Sources for this page

Verify at the official NPI Registry.