Active NPI
Deidra Davis, LPN
- Licensed Practical Nurse
- Columbus, OH
National Provider Identifier
1992395644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN164270.MED-IV
- Practice address
- 1791 Alum Creek Drive
Columbus, OH 43207 - Phone
- (614) 445-8131
- NPI assigned
- Jan 26, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN164270.MED-IV | OH | Primary |
Addresses
Primary practice location
1791 Alum Creek Drive
Columbus, OH 43207
Mailing address
1791 Alum Creek Dtive
Columbus, OH 43207
Phone (614) 445-8131
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | deidra.davis@ohiohealth.com | Direct |
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 |
|---|---|---|---|
| LPN164270.MED-IV | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1992395644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1791 ALUM CREEK DTIVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43207",
"telephone_number": "614-445-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1791 ALUM CREEK DRIVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43207",
"telephone_number": "614-445-8131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DEIDRA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-26",
"last_updated": "2021-01-26",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN164270.MED-IV",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "deidra.davis@ohiohealth.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "171 Hanford St",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432063631",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.