Active NPI
Katlin Clair Davis, APRN
- Family Nurse Practitioner
- Louisville, KY
National Provider Identifier
1114576196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3013844
- Practice address
- 721 S Preston St
Louisville, KY 40203-2319 - Phone
- (502) 583-1799
- NPI assigned
- Sep 11, 2019
- 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 | 3013844 | KY | Primary |
Addresses
Primary practice location
721 S Preston St
Louisville, KY 40203-2319
Mailing address
721 S Preston St
FL 2
Louisville, KY 40203-2319
Phone (502) 583-1799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14545253 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
721 S Preston St
Louisville, KY 40203-2319
Phone (502) 583-1799
Hospital & facility affiliations
- Norton Hospitals, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisville Observational Medicine Associates PSC | Current | Accepting new patients | |
| Louisville Emergency Medicine Associates PSC | Current | Accepting new patients |
Locations
4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1487604641
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1356018519
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1831195908
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1891799227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1114576196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 S PRESTON ST",
"address_2": "FL 2",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032319",
"telephone_number": "502-583-1799",
"fax_number": "502-583-1972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 S PRESTON ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032319",
"telephone_number": "502-583-1799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KATLIN",
"middle_name": "CLAIR",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3013844",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14545253",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.