Kathleen L Davis, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

ARNP3275952 Issued in FL

Practice address

5430 Military Trail
Ste 64
Jupiter, FL 33458-2873

Phone

(561) 263-7010

NPI assigned

Sep 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: kdavis21823@jupitermedicalcenter.direct-ci.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1154805877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9218",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334689218",
            "telephone_number": "561-263-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 MILITARY TRAIL",
            "address_2": "STE 64",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582873",
            "telephone_number": "561-263-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATHLEEN",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP3275952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David S Rondon MD PA
• David Shaw, Psy.D. ,P.a.
• David Shuter MD PA
• Kimberly Benefield David, LICENSED SCHOOL PSYC
• Janice S Davidson, MS, OTR/L
• Lois-Anne Ward Davis, CCC-SLP
• Patricia Davis, OTR/L,CHT
• Randy Davis
• Shannon A Davis, M.A., CCC-SLP
• Timothy Davis, PA-C

• Primary Care Nurse Practitioner in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.