Kathleen Davidson, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

1158162 Issued in TX

Practice address

11840 Hero Way W
Leander, TX 78641-3346

Phone

(737) 331-1698

NPI assigned

Sep 13, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kathleen Davidson Professional name

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": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1073349155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11840 HERO WAY W",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413346",
            "telephone_number": "737-331-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11840 HERO WAY W",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413346",
            "telephone_number": "737-331-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "KATHLEEN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1158162",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1158162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "DAVIDSON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mitalben Dankhara
• Dao & Hochman Podiatry PLLC (Crystal Falls Foot & Ankle Specialists PLLC)
• Van Le Dao, DPM
• Mary Darms
• Marian Leslie Dato
• Jessica Ann Davis-Ramos, COTA
• Casita Ramekia Davis
• Kesha Kenya Davis
• Tonya Gayle Davis, L.V.N.
• Timothy Shawn Dehart, CSFA

• Primary Care Nurse Practitioner in Leander, TX
• Providers in Leander, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.