Amanda Kathleen Davis, MSN PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

16668-NP Issued in OH

Practice address

4302 Allen Rd Ste 420
Stow, OH 44224-1070

Phone

(330) 865-4644

Fax

(330) 865-4641

NPI assigned

Dec 4, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bharat J Shah MD IncGroup PAC ID 5890696926, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bharat J Shah MD Inc

  • Geriatric Psychiatry Physician
  • Fairlawn, OH
  • NPI 1396825675
  Medicare reassignment Care Compare group NPD
• Stephen J Francis, MD, Inc.

  • Infectious Disease Physician
  • Cuyahoga Falls, OH
  • NPI 1063659357
  NPD (past)

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1891192985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BAKER BLVD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333601",
            "telephone_number": "330-572-0645",
            "fax_number": "330-572-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALLEN RD STE 420",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241070",
            "telephone_number": "330-865-4644",
            "fax_number": "330-865-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMANDA",
        "middle_name": "KATHLEEN",
        "credential": "MSN PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "16668-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Andrew Czerwony, PT, DPT
• Spencer Alexander Daddario
• Mikhael Daniachew
• Christina Davello
• Davis Foot & Ankle Surgery LLC
• Hallie A Davis
• Tracy M Dawyduk, PSYD
• Jodi Del Ferraro
• Gail Ann Demaria-Heidt, PT, CLT
• Christina Marie Dentz, MSOTRL

• Psychiatric/Mental Health Nurse Practitioner in Stow, OH
• Providers in Stow, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.