Active NPI
Shera Davis, LPN
- Psychiatric/Mental Health Registered Nurse
- Dayton, OH
National Provider Identifier
1962741199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 4016530
- Practice address
- 1 Elizabeth PL
Dayton, OH 45417-3445 - Phone
- (937) 301-5897
- NPI assigned
- Feb 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 4016530 | KY | Primary |
| Licensed Practical Nurse | 164W00000X | PN.145176-M-I V | OH |
Addresses
Primary practice location
1 Elizabeth PL
Dayton, OH 45417-3445
Mailing address
6258 Highway 235
Nancy, KY 42544
Phone (937) 301-5897
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PN.145176-M-IV | Other | OH | LPN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4016530 | KY | MD | Psychiatric/Mental Health Registered Nurse |
| PN.145176-M-I V | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713052800000",
"number": "1962741199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6258 HIGHWAY 235",
"city": "NANCY",
"state": "KY",
"postal_code": "42544",
"telephone_number": "937-301-5897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ELIZABETH PL",
"city": "DAYTON",
"state": "OH",
"postal_code": "454173445",
"telephone_number": "937-301-5897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SHERA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-07",
"last_updated": "2024-04-14",
"certification_date": "2024-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "KY",
"license": "4016530",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN.145176-M-I V",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPN",
"identifier": "PN.145176-M-IV",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.