NPIMap

Individual provider Active NPI

Kimberly Nichole Davis, MD

  • Family Medicine Physician
  • Bartlesville, OK
National Provider Identifier
1033435912
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27796 Issued in OK
Practice address
3400 E Frank Phillips Blvd Ste 300
Bartlesville, OK 74006-2439
Phone
(918) 331-2415
NPI assigned
Apr 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27796 OK Primary
Family Medicine Physician 207Q00000X 2013021817 MO

Addresses

Primary practice location

3400 E Frank Phillips Blvd Ste 300
Bartlesville, OK 74006-2439

Mailing address

3400 E Frank Phillips Blvd Ste 702
Bartlesville, OK 74006-2443
Phone (918) 335-5000

Other names 1

  • Kimberly Nichole Young Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141209000682 OK Practitioner - Family Practice 9234372822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

1705 E 19TH St
Tulsa, OK 74104-5410

Hospital & facility affiliations

  • Angels Care Home Health of East Oklahoma Home health agency, Broken Arrow, OK, CCN 377171
  • Ascension at Home Home health agency, Bartlesville, OK, CCN 377272
  • Shanadoa Home Health, Inc. Home health agency, Tulsa, OK, CCN 377733
  • Amedisys Home Health Home health agency, Bartlesville, OK, CCN 377180
  • Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018
  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Medicalodges Dewey Nursing home, Dewey, OK, CCN 375150

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc. Family Medicine CurrentSince Sep 27, 2014 Accepting new patients
St. John Physicians, Inc CurrentSince Sep 27, 2014 Accepting new patients
Omni Medical Group Inc Family Medicine PastSince Jul 5, 2020 Accepting new patients
Jane Phillips Memorial Medical Center, Inc. Past Accepting new patients
Summit Medical Center Past Accepting new patients
University Health Physicians Family Medicine Past Accepting new patients

Locations

3400 E Frank Phillips Blvd
Ste 702
Bartlesville, OK 74006
Phone (918) 331-2500

3400 E Frank Phillips Blvd
Ste 300
Bartlesville, OK 74006
Phone (832) 477-0343

3400 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-2441

3400 E Frank Phillips Blvd
Ste 501
Bartlesville, OK 74006
Phone (918) 331-2415

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1033435912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD STE 702",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062443",
            "telephone_number": "918-335-5000",
            "fax_number": "918-331-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD STE 300",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062439",
            "telephone_number": "918-331-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KIMBERLY",
        "middle_name": "NICHOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "27796",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2013021817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "YOUNG",
            "middle_name": "NICHOLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.