Active NPI
Christian Davidson
- Family Nurse Practitioner
- Lexington, KY
National Provider Identifier
1023655214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3016476
- Practice address
- 3111 Spurr Rd
Lexington, KY 40511-9000 - Phone
- (859) 246-2366
- NPI assigned
- Dec 6, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3016476 | KY | Primary |
Addresses
Primary practice location
3111 Spurr Rd
Lexington, KY 40511-9000
Mailing address
226 Tanner Cir
Stanford, KY 40484-8117
Phone (606) 669-0213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251120004118 | KY | Order and Referring Only - Nurse Practitioner | 2365934031 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3016476 | KY | MD | Family Nurse Practitioner |
Interoperability endpoints
- christian.davidson@237407481626628.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1023655214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 TANNER CIR",
"city": "STANFORD",
"state": "KY",
"postal_code": "404848117",
"telephone_number": "606-669-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 SPURR RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405119000",
"telephone_number": "859-246-2366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "CHRISTIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-06",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3016476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.