Individual provider Active NPI

Katherine Lynn Davis, MS, RN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1255700142
Registry record updated Mar 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F430964-1 Issued in NY
Practice address
29 Little Nassau St
Brooklyn, NY 11205-5266
Phone
(929) 275-1853
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X F430964-1 NY Primary

Addresses

Primary practice location

29 Little Nassau St
Brooklyn, NY 11205-5266

Mailing address

45 Queens Dr E
Little Silver, NJ 07739-1628
Phone (860) 841-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
F430964-1NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careathome Medical Practice (Ma), P.C. Current Accepting new patients
Perfect Health PC PastSince Jun 9, 2024 Accepting new patients

Locations

75 Arlington St
Ste 500
Boston, MA 02116
Phone 6172494142 ext. 61724

169 Madison Ave
Ste 2817
New York, NY 10016
Phone (917) 410-7931

287 Park Ave S
Fl 3
New York, NY 10010
Phone (917) 410-7931

Interoperability endpoints

  • Direct secure messaging: katherine.davis@cinq-nyipa.medentdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772841600000",
    "number": "1255700142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 QUEENS DR E",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391628",
            "telephone_number": "860-841-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 LITTLE NASSAU ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112055266",
            "telephone_number": "929-275-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATHERINE",
        "middle_name": "LYNN",
        "credential": "MS, RN, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F430964-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.