Individual provider Active NPI

Keri Lynn Davies, ARNP-C

  • Nurse Practitioner
  • Brooksville, FL
National Provider Identifier
1194157719
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9263482 Issued in FL
Practice address
11373 Cortez Blvd Ste 208
Brooksville, FL 34613-5405
Phone
(352) 596-0744
NPI assigned
Aug 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9263482 FL Primary

Addresses

Primary practice location

11373 Cortez Blvd Ste 208
Brooksville, FL 34613-5405

Mailing address

12132 Cortez Blvd
Brooksville, FL 34613-5575
Phone (352) 596-0744

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KERI.DAVIES@hca4.eclinicaldirectplus.com

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
I20130917000384 FL Practitioner - Nurse Practitioner 5193969962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital Family Practice LLCGroup PAC ID 2264595941, 44 clinicians
Greater Tampa Bay Physician Specialists LLCGroup PAC ID 2961637715, 33 clinicians

Practice addresses (Care Compare)

11371 Cortez Blvd
Brooksville, FL 34613-5409

11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 596-6632

11377 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 597-3060

14000 Fivay Rd
Hudson, FL 34667-7103
Phone (727) 819-2929

14100 Fivay Rd
Hudson, FL 34667-7160

2318 Cypress CV
Suite 101
Wesley Chapel, FL 33544-6786
Phone (813) 788-5569

7515 State Rd
52 Suite 102
Hudson, FL 34667-6757
Phone (727) 863-0008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.95 of 100Reported as group
Quality
78.21
Promoting interoperability
100
Improvement activities
40
Cost
77.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9263482FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Family Practice LLC CurrentSince Nov 8, 2014 Accepting new patients
Fawzi Soliman MD PA CurrentSince Aug 16, 2013 Accepting new patients
John Parrinello, PA CurrentSince Aug 16, 2013 Accepting new patients
Greater Tampa Bay Physician Specialists, LLC CurrentSince Mar 30, 2025 Accepting new patients

Locations

11373 Cortez Blvd
Ste 208
Brooksville, FL 34613
Phone (352) 596-0786

12132 Cortez Blvd
Brooksville, FL 34613
Phone (352) 592-4711

11371 Cortez Blvd
Ste 115
Brooksville, FL 34613
Phone (352) 592-0220

7515 State Road 52
Ste 102
Hudson, FL 34667
Phone (727) 842-3322

602 S Audubon Ave
Ste A
Tampa, FL 33609
Phone (813) 540-4322

2318 Cypress Cv
Ste 101
Wesley Chapel, FL 33544
Phone (813) 788-5569

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1194157719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12132 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135575",
            "telephone_number": "352-596-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD STE 208",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135405",
            "telephone_number": "352-596-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "KERI",
        "middle_name": "LYNN",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2022-01-31",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9263482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KERI.DAVIES@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "11373 Cortez Blvd Ste 208",
            "city": "Brooksville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346135405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.