Individual provider Active NPI

Dawniesha Jenay Pruitt, LPN

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1861027781
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0039630 Issued in OH
Practice address
1854 Windmill Way
Cincinnati, OH 45240-3340
Phone
(513) 344-4247
NPI assigned
Mar 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 170610 OH
Nurse Practitioner 363L00000X 0039630 OH Primary

Addresses

Primary practice location

1854 Windmill Way
Cincinnati, OH 45240-3340

Mailing address

1854 Windmill Way
Cincinnati, OH 45240-3340
Phone (513) 344-4247

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
I20250718004115 OH Practitioner - Nurse Practitioner 9133635972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CNP Operating Co LLCGroup PAC ID 8325263734, 63 clinicians

Practice addresses (Care Compare)

8055 Addison Rd
Masury, OH 44438-1204
Phone (330) 448-2547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
170610OHMDLicensed Practical Nurse
0039630OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PA Post Acute Services PC CurrentSince Jun 25, 2025 Accepting new patients
CNP Operating Co LLC Nurse Practitioner CurrentSince Jun 25, 2025 Accepting new patients

Locations

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1861027781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 WINDMILL WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452403340",
            "telephone_number": "513-344-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 WINDMILL WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452403340",
            "telephone_number": "513-344-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "DAWNIESHA",
        "middle_name": "JENAY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "170610",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0039630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.