Active NPI
Kendra Lawson Davis, APN
- Family Nurse Practitioner
- Northfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00130600
- Practice address
- 1907 New Rd
Northfield, NJ 08225-1545 - Phone
- (609) 645-8884
- Fax
- (609) 645-9780
- NPI assigned
- Aug 14, 2007
- Last updated
- Aug 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00130600 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 26NJ00130600 | NJ | Primary |
Addresses
Primary practice location
1907 New Rd
Northfield, NJ 08225-1545
Mailing address
1907 New Road
Northfield, NJ 08225-1544
Phone (609) 645-8884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8750 SW 144TH St
Suite 203
Palmetto Bay, FL 33176-7230
Phone (305) 255-0098
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00130600 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael D Feldman DO PA | Current | Accepting new patients | |
| The Healthcaring Clinic of Florida, LLC | Family | Past | Accepting new patients |
| Paradigm Health Psychiatric SRV, LLC | Past | Accepting new patients |
Locations
8750 SW 144th St
Ste 203
Palmetto Bay, FL 33176
Phone (305) 251-6464
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GABCDD/Endpoint/GABCDD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Village of Palmetto Bay, FL
- NPI 1154420776
-
- Mental Health Counselor
- Raleigh, NC
- NPI 1770533945
-
- Family Nurse Practitioner
- Orange City, FL
- NPI 1003914441
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Homestead Hospital
- General Acute Care Hospital
- Homestead, FL
- NPI 1578547865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1073705950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 NEW ROAD",
"city": "NORTHFIELD",
"state": "NJ",
"postal_code": "082251544",
"telephone_number": "609-645-8884",
"fax_number": "609-645-9780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 NEW RD",
"city": "NORTHFIELD",
"state": "NJ",
"postal_code": "082251545",
"telephone_number": "609-645-8884",
"fax_number": "609-645-9780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KENDRA",
"middle_name": "LAWSON",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00130600",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00130600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.