Linda Davidson, RN-CNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN.CNP.01665 Issued in OH

Practice address

700 S Stanfield Rd
Ste. a
Troy, OH 45373-2372

Phone

(937) 339-5355

Fax

(937) 339-3056

NPI assigned

Oct 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1891785309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S STANFIELD RD",
            "address_2": "STE. A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732372",
            "telephone_number": "937-339-5355",
            "fax_number": "937-339-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S STANFIELD RD",
            "address_2": "STE. A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732372",
            "telephone_number": "937-339-5355",
            "fax_number": "937-339-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "LINDA",
        "credential": "RN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "RN143805",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "RN-143805",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.01665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2366792",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldavidson168891@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "700 S Stanfield Rd",
            "address_2": "Ste. A",
            "city": "Troy",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453732372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "700 S Stanfield Rd",
            "address_2": "Ste. A",
            "city": "Troy",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453732372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kara Daniel, M.S. CCC-SLP
• Darke County Mental Health Clinic, Inc.
• Lori A Darrah, CNP
• Morgan Michelle Darst
• Heather Davey, MA, CCC/SLP
• Carolyn J. Davis, OD
• Dayton Dental Care, Inc
• Jennifer Sue Decker, M.A., L.S.W.
• Jane A Decolgyll, LSW
• Don D Delcamp, MD

• Gerontology Nurse Practitioner in Troy, OH
• Providers in Troy, OH by specialty
• Gerontology Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.