DAVA J DERRICK (NPI# 1164421806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164421806 |
| Entity Type | Individual |
| Full Name | DAVA J DERRICK |
| Credential | CNP |
| Practice Address |
1250 National Rd Suite 400 Clayton OH 45315-9505 |
| Practice Telephone | 9378365165 |
| Practice Fax Number | 9378366709 |
| Mailing Telephone | 9378365165 |
| Mailing Fax Number | 9378366709 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2014-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP06888 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RR MEDICARE | P00186293 | 01 |
| OH | 2372418 | 05 | |
| OH | ANTHEM | 000000292814 | 01 |
| Street Address |
1250 NATIONAL RD SUITE 400 |
| City | CLAYTON |
| State | OH |
| Zip Code | 45315-9505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962663765 | Dayton Pain Center LLC | Anesthesiology | 1250 National Rd, Ste 100 B, Clayton, OH 45315-9505 | 2008-06-24 |
| 1275746505 | Katherine L Davis | Specialist | 1250 National Rd, Clayton, OH 45315-9505 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649719139 | Lawrence Eseme Besingi | Licensed Practical Nurse | 402 Bluebell Ct, Englewood, OH 45315 | 2017-02-16 |
| 1619371580 | Specialty Medicine Care, LLC | Internal Medicine | 1250 W. National Rd, Suite 700, Englewood, OH 45315 | 2014-10-21 |
| 1023410164 | Rodney Lewis Hunter Sr. | Counselor | 611 White Clover Court, Englewood, OH 45315 | 2014-09-19 |
| 1366511750 | Hoke Road Dental Care | Dentist | 7701 Hoke Road, Clayton, OH 45315 | 2006-11-07 |
| 1376520353 | Kristy A Zechiel | Family Medicine | 1250 W National Rd Ste 400, Englewood, OH 45315 | 2005-12-29 |
| 1245625359 | Jonathan James Blaza | Family Medicine | 1250 W National Rd Ste 400, Englewood, OH 45315 | 2015-04-06 |
| 1154564276 | Fidelis Njok Elokobi | Registered Nurse | 1007 Meadowsweet Dr, Clayton, OH 45315-7718 | 2009-04-20 |
| 1194183046 | New Beginnings Therapeutic Services, Inc. | Community/Behavioral Health | 611 White Clover Ct, Englewood, OH 45315-7734 | 2016-02-07 |
| 1518471218 | Angela Marie Hunter | Counselor | 611 White Clover Ct, Englewood, OH 45315-7734 | 2017-11-17 |
| 1306180153 | Shaundra Janelle Blair | Occupational Therapist | 7007 Tamarack Ct, Clayton, OH 45315-7900 | 2012-11-18 |
| Find all providers in zip 45315 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225419369 | Angela Byrd | Nurse Practitioner | 109 Townsend Dr, Clayton, NC 27527-5221 | 2015-06-15 |
| 1639584253 | Altegra Health Connections, LLC | Nurse Practitioner | 120 S Central Ave, Clayton, MO 63105-1705 | 2014-06-23 |
| 1861440596 | Regina E Walker | Nurse Practitioner | 269 Ridgecrest Circle Suite 109, Clayton, GA 30525 | 2006-05-05 |
| 1679536429 | Shannon L Robinson | Nurse Practitioner | 896 Highway 441 S, Clayton, GA 30525-5423 | 2006-04-11 |
| 1689949984 | Cory Wellborn | Nurse Practitioner | 2076 Hwy 42 W, Suite 300, Clayton, NC 27520-9226 | 2012-03-20 |
| 1669782470 | Shannon Brittain Mooring | Nurse Practitioner | 2076 Nc Highway 42 W, Ste. 230, Clayton, NC 27520-5302 | 2010-10-14 |
| 1730490715 | Gerald N Harper | Nurse Practitioner | 1020 N Lawson Boulevard, Clayton, OK 74536-0219 | 2010-06-24 |
| 1366615635 | Ashley Leah Thomas | Nurse Practitioner | 500 Gateway Dr, Clayton, NC 27520-2158 | 2008-04-08 |
| 1417141052 | Virginia Ann Mclean | Nurse Practitioner | 500 Gateway Dr, Clayton, NC 27520-2158 | 2007-08-28 |
| 1649362278 | Margaret Leigh Singer | Nurse Practitioner | 536 Highway 441 S, Clayton, GA 30525-5422 | 2006-09-29 |
| Find all providers in CLAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.