Individual provider Active NPI

Laura Kathryn Davis, FNP-BC

  • Family Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1215613468
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0998770 Issued in CO
Practice address
1550 S Potomac St Ste 200
Aurora, CO 80012-5432
Phone
(303) 632-8648
NPI assigned
Jun 23, 2023
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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 0998770 CO Primary

Addresses

Primary practice location

1550 S Potomac St Ste 200
Aurora, CO 80012-5432

Mailing address

1550 S Potomac St Ste 200
Aurora, CO 80012-5432
Phone (303) 632-8648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20230828001144 CO Practitioner - Nurse Practitioner 1456714278 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0998770COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martin McDermott MD PC CurrentSince Aug 14, 2023 Accepting new patients
Himalaya Family Medicine Clinic PLLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

1550 S Potomac St
Ste 200
Aurora, CO 80012
Phone (303) 369-1044

327 Park Ave
Fort Lupton, CO 80621
Phone (303) 857-2711

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18039/brand/1/csg/1/fhir/r4

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": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1215613468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S POTOMAC ST STE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125432",
            "telephone_number": "303-632-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S POTOMAC ST STE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125432",
            "telephone_number": "303-632-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LAURA",
        "middle_name": "KATHRYN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0998770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.