Active NPI
Kristen Davis, PA-C
- Physician Assistant
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C02999
- Practice address
- 2000 Medical Pkwy
Ste 101
Annapolis, MD 21401-3742 - Phone
- (410) 268-8862
- Fax
- (410) 280-4701
- NPI assigned
- Jun 10, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C02999 | MD | Primary |
Addresses
Primary practice location
2000 Medical Pkwy
Ste 101
Annapolis, MD 21401-3742
Mailing address
2000 Medical Pkwy
Ste 101
Annapolis, MD 21401-3742
Phone (410) 268-8862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10700 Charter Dr
Columbia, MD 21044-3629
Phone (443) 546-1575
4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100
6201 Greenleigh Ave
Middle River, MD 21220-2004
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C02999 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Orthopaedic and Sports Medicine Center LLC | Past | Accepting new patients | |
| Medstar Harbor Hospital Physicians LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Harbor Hospital | Past | Accepting new patients | |
| Orthopaedic and Sports Medicine Center LLC | Past | Accepting new patients | |
| Luminis Health Medical Group, LLC | Past | Accepting new patients |
Locations
4940 Eastern Ave
Baltimore, MD 21224
600 N Wolfe St
Baltimore, MD 21287
Interoperability endpoints
- kdavis7237@direct.hopkinsmedicine.org
Organizations & group practices 9
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.
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Orthopaedic Surgery Physician
- Baltimore, MD
- NPI 1013913789
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Multi-Specialty Clinic/Center
- Baltimore, MD
- NPI 1831110873
-
- Orthopaedic Surgery Physician
- Annapolis, MD
- NPI 1780824615
-
- General Practice Physician
- Baltimore, MD
- NPI 1386067783
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Annapolis, MD
- NPI 1083617625
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Bowie, MD
- NPI 1245439595
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1790700904
-
- Chronic Disease Hospital
- Baltimore, MD
- NPI 1336251412
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415059200000",
"number": "1093719676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 MEDICAL PKWY",
"address_2": "STE 101",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013742",
"telephone_number": "410-268-8862",
"fax_number": "410-280-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MEDICAL PKWY",
"address_2": "STE 101",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013742",
"telephone_number": "410-268-8862",
"fax_number": "410-280-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KRISTEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-10",
"last_updated": "2014-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C02999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.