Individual provider Active NPI

Katrina Davis, DNP, FNP-BC

  • Family Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1205311792
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5010850 Issued in NC
Practice address
201 N Church St
Medical Dept
Winston Salem, NC 27101
Phone
(336) 917-7674
NPI assigned
Oct 1, 2018
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5010850 NC Primary

Addresses

Primary practice location

201 N Church St
Medical Dept
Winston Salem, NC 27101

Mailing address

201 N Church St
Medical Dept
Winston Salem, NC 27101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230907000109 NC Practitioner - Nurse Practitioner 2860856002 Reassigns benefits to 1 organization
I20231206001092 SC Practitioner - Nurse Practitioner 2860856002 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Nurse Practitioner CurrentSince Nov 21, 2023 Accepting new patients
Monogram Health Professional Services of North Carolina PC Nurse Practitioner CurrentSince Aug 28, 2023 Accepting new patients

Locations

615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125

128 Millport Cir
Ste 200
Greenville, SC 29607
Phone (240) 877-9865

5410 Maryland Way
Ste 400
Brentwood, TN 37027

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1205311792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N CHURCH ST",
            "address_2": "MEDICAL DEPT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N CHURCH ST",
            "address_2": "MEDICAL DEPT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27101",
            "telephone_number": "336-917-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATRINA",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.