DAVIDA D PRATER CNP NPI 1447287230

NPI Information

NPI: 1447287230
Provider Name: DAVIDA D PRATER, CNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
75 SYLVANIA DR
BEAVERCREEK, OH
ZIP 45440
Phone: (937) 320-5050
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Davida D Prater, CNP is an acute care nurse practitioner in Beavercreek, OH with 20 years of experience. Davida D Prater, CNP NPI is 1447287230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

75 SYLVANIA DR
BEAVERCREEK, OH
ZIP 45440-237
Phone: (937) 320-5050
Fax: (937) 320-5060

The NPI 1447287230 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 8/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN.220363	OHIO	No
2	163W00000X	Registered Nurse		RN.220363-COA1	OHIO	No
3	363L00000X	Nurse Practitioner		COA.08244-NP	OHIO	No
4	363LA2100X	Nurse Practitioner	Acute Care	APRN.CNP.08244	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2989744	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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