Active NPI
Kathy Dai Davis, C.R.N.P.
- Family Nurse Practitioner
- Linthicum Heights, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R144682
- Practice address
- 785 Elkridge Landing Rd Ste 300
Linthicum Heights, MD 21090-2958 - Phone
- (443) 323-3014
- Fax
- (855) 212-5249
- NPI assigned
- Jan 10, 2007
- Last updated
- Jun 27, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R144682 | MD | Primary |
Addresses
Primary practice location
785 Elkridge Landing Rd Ste 300
Linthicum Heights, MD 21090-2958
Mailing address
813 Maiden Choice LN
Baltimore, MD 21228-3679
Phone (410) 402-2258
Other practice location 1
711 Maiden Choice Ln
Catonsville, MD 21228-3632
Phone (410) 247-5602
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00726215 | Other | GA | RAILROAD MEDICARE |
| 152584ZDVX | Other | MD | MEDICARE |
| E402 0022 | Other | DC | CAREFIRST |
| 1221809 | Other | AMERIGROUP | |
| 416893300 | Other | MD | MEDICAL ASSISTANCE |
| 94951602 | Other | MD | CAREFIRST |
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
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12325 New Hampshire Ave
Silver Spring, MD 20904-2957
Phone (888) 964-6681
6700 Alexander Bell Dr
Suite 200
Columbia, MD 21046-2105
Phone (888) 964-6681
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.12 of 100
- Quality
- 78.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthdrive Medical Services Southeast LLC | Family | Current | Accepting new patients |
| Healthdrive Medical Services, PC | Family | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1300 I St NW
Ste 400E
Washington, DC 20005
Phone (202) 902-7324
6700 Alexander Bell Dr
Ste 200
Columbia, MD 21046
Phone (201) 581-3411
12325 New Hampshire Ave
Silver Spring, MD 20904
Phone (301) 622-4600
Organizations & group practices 6
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.
-
- Nurse Practitioner
- Columbia, MD
- NPI 1437930146
DC, Family
-
- Internal Medicine Physician
- Linthicum Heights, MD
- NPI 1083654479
-
- Family Nurse Practitioner
- Rockville, MD
- NPI 1134191836
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1104975622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 MAIDEN CHOICE LN",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212283679",
"telephone_number": "410-402-2258",
"fax_number": "410-204-7279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 ELKRIDGE LANDING RD STE 300",
"city": "LINTHICUM HEIGHTS",
"state": "MD",
"postal_code": "210902958",
"telephone_number": "443-323-3014",
"fax_number": "855-212-5249"
}
],
"practiceLocations": [
{
"address_1": "711 Maiden Choice Ln",
"address_purpose": "LOCATION",
"city": "Catonsville",
"state": "MD",
"postal_code": "212283632",
"country_code": "US",
"telephone_number": "410-247-5602",
"fax_number": "410-242-1756",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "KATHY",
"middle_name": "DAI",
"name_prefix": "Ms.",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R144682",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00726215",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "152584ZDVX",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "E402 0022",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "1221809",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "416893300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "94951602",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Linthicum Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.