Kenysha Melissa Davis

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

R178563 Issued in MD

Practice address

10455 Mill Run Cir
Owings Mills, MD 21117-4208

Phone

(410) 581-3000

NPI assigned

Apr 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1073256038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7898 CANTWELL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212441250",
            "telephone_number": "443-414-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 MILL RUN CIR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174208",
            "telephone_number": "410-581-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KENYSHA",
        "middle_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MD",
            "license": "R178563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kenysha.davis@cfcareco.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7898 Cantwell Rd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara A. Davidson, RPH.
• Kylen Davidson, RBT
• Princess Davies
• Alan S Davis, M.D.
• Ebonee Davis
• Tammi Dawn Davis, M.D.
• Rachell Dawang
• Tajoi Janielle Dawkins, BCBA
• Clifton Dawson III, CRNP
• Day Timers Early Intervention Therapy

• Case Management Registered Nurse in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Case Management Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.