Yvonne Maddela Davis, A.R.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4417P Issued in KY

Practice address

471 Klutey Park Plaza Dr
Henderson, KY 42420-3347

Phone

(270) 830-6100

Fax

(270) 826-3089

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056
• Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71249
• Direct secure messaging: ydavis209258@direct.deaconess.com

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.

• Deaconess Clinic, Inc

  • Family Medicine Physician
  • Morganfield, KY
  • NPI 1891941688
  Medicare reassignment Care Compare group NPD
• Methodist Health, Inc.

  • Hospitalist Physician
  • Henderson, KY
  • NPI 1679718100

  Family

  Medicare reassignment NPD
• Zenaida A. Maddela, M.D.

  • Internal Medicine Physician
  • Henderson, KY
  • NPI 1487662011
  Medicare reassignment
• Deaconess Clinic, Inc.

  • Family Medicine Physician
  • Owensboro, KY
  • NPI 1295391480
  NPD
• Methodist Health, Inc.

  • Surgery Physician
  • Henderson, KY
  • NPI 1245547892
  NPD
• Deaconess Clinic Inc

  • Pediatrics Physician
  • Washington, IN
  • NPI 1356132310
  NPD
• Evansville Surgical Associates Inc

  • Surgery Physician
  • Evansville, IN
  • NPI 1497707517

  Family

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Health, Inc.

  • General Acute Care Hospital
  • Henderson, KY
  • NPI 1083759633
  Care Compare affiliation
• Deaconess Hospital Inc

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1780535427
  Care Compare affiliation
• Deaconess Hospital, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1053361642
  Care Compare affiliation

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1255437463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 KLUTEY PARK PLAZA DR",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203347",
            "telephone_number": "270-830-6100",
            "fax_number": "270-826-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 KLUTEY PARK PLAZA DR",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203347",
            "telephone_number": "270-830-6100",
            "fax_number": "270-826-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "YVONNE",
        "middle_name": "MADDELA",
        "name_prefix": "Mrs.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4417P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78013562",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zarna J Dahya, MD
• Tammy J Dallmeier, PTA
• Shelby N Darr
• Niya Davis, RBT
• Victoria Jean Davis
• Rachel Elizabeth Day
• Deaconess Clinc Inc
• Deaconess Clinc Inc
• Deaconess Clinic
• Deaconess Clinic Inc

• Family Nurse Practitioner in Henderson, KY
• Providers in Henderson, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.

Verify at the official NPI Registry.