Individual provider Active NPI

Latoya Desiree Davis, FNP-BC

  • Family Nurse Practitioner
  • West Chester, OH
National Provider Identifier
1902342488
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2014030318 Issued in OH
Practice address
4597 Wyndtree Dr Apt 117
West Chester, OH 45069-8610
Phone
(513) 678-3723
NPI assigned
Jan 9, 2017
Last updated
Feb 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2014030318 OH Primary

Addresses

Primary practice location

4597 Wyndtree Dr Apt 117
West Chester, OH 45069-8610

Mailing address

4597 Wyndtree Dr Apt 117
West Chester, OH 45069-8610
Phone (513) 678-3723

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
I20260311001361 OH Order and Referring Only - Nurse Practitioner 8527328277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2014030318OHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1902342488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4597 WYNDTREE DR APT 117",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450698610",
            "telephone_number": "513-678-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4597 WYNDTREE DR APT 117",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450698610",
            "telephone_number": "513-678-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LATOYA",
        "middle_name": "DESIREE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "2014030318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.