Individual provider Active NPI

Kendra Lawson Davis, APN

  • Family Nurse Practitioner
  • Northfield, NJ
National Provider Identifier
1073705950
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00130600 Issued in NJ
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000824 FL Practitioner - Nurse Practitioner 6103899919 Reassigns benefits to 1 organization

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
Michael D Feldman DO PAGroup PAC ID 4688776982, 2 clinicians

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

LicenseStateTypeSpecialty
26NJ00130600NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D Feldman DO PA CurrentSince Feb 22, 2017 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

  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.