Individual provider Active NPI

Milinda Marie Davila, ANP

  • Family Nurse Practitioner
  • Spring, TX
National Provider Identifier
1255808812
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139373 Issued in TX
Practice address
21309 Foster Rd
Spring, TX 77388-4209
Phone
(281) 587-1700
NPI assigned
Oct 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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 AP139373 TX Primary

Addresses

Primary practice location

21309 Foster Rd
Spring, TX 77388-4209

Mailing address

11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-4997

Other practice location 1

11026 Highway 242
Conroe, TX 77385-4348
Phone (281) 587-1700

Other practice location 2

5001 E Sam Houston Pkwy S
Pasadena, TX 77505-3965
Phone (713) 442-7100

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address milinda-davila@ikpfamily.e-mdsdirect.com
Direct Messaging Address milinda-davila@ikpfamily.e-mdsdirect.com
Direct Messaging Address milinda-davila@ikpfamily.e-mdsdirect.com
Direct Messaging Address milinda-davila@ikpfamily.e-mdsdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20181127000890 TX Practitioner - Nurse Practitioner 8123372414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kelsey-Seybold Medical Group, PLLCGroup PAC ID 9739093527, 941 clinicians

Practice addresses (Care Compare)

5001 E Sam Houston Pkwy S
Pasadena, TX 77505-3965
Phone (713) 442-7100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP139373TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsey-Seybold Medical Group, PLLC CurrentSince Jul 11, 2022 Accepting new patients
Airrosti Rehab Centers, LLC Past Accepting new patients

Locations

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

5001 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 442-7100

11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mdavila43693@direct.kelsey-seybold.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": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1255808812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 SHADOW CREEK PKWY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847298",
            "telephone_number": "713-442-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21309 FOSTER RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884209",
            "telephone_number": "281-587-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11026 Highway 242",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773854348",
            "country_code": "US",
            "telephone_number": "281-587-1700",
            "fax_number": "281-907-6003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5001 E Sam Houston Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775053965",
            "country_code": "US",
            "telephone_number": "713-442-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "MILINDA",
        "middle_name": "MARIE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "milinda-davila@ikpfamily.e-mdsdirect.com",
            "affiliation": "N",
            "address_1": "21309 Foster Rd",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773884209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "milinda-davila@ikpfamily.e-mdsdirect.com",
            "affiliation": "N",
            "address_1": "11026 Highway 242",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773854348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "milinda-davila@ikpfamily.e-mdsdirect.com",
            "affiliation": "N",
            "address_1": "21309 Foster Rd",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773884209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "milinda-davila@ikpfamily.e-mdsdirect.com",
            "affiliation": "N",
            "address_1": "11026 Highway 242",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773854348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.