Individual provider Active NPI

Jordan Davis, NP

  • Family Nurse Practitioner
  • Warsaw, KY
National Provider Identifier
1295519791
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4010954 Issued in KY
Practice address
204 Franklin St
Warsaw, KY 41095
Phone
(859) 904-0033
NPI assigned
Aug 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71014365A IN
Family Nurse Practitioner 363LF0000X 4010954 KY Primary

Addresses

Primary practice location

204 Franklin St
Warsaw, KY 41095

Mailing address

PO Box 309
Warsaw, KY 41095-0309
Phone (859) 904-0033

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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
63.09 of 100Reported as group
Quality
45.91
Improvement activities
40
Cost
76.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71014365AINMDFamily Nurse Practitioner
4010954KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton - Kings Daughters Health Inc CurrentSince Sep 24, 2023 Accepting new patients
Norton - Kings Daughters Health Inc Nurse Practitioner CurrentSince Sep 24, 2023 Accepting new patients
Tristate Pathology and Forensic Services LLC Current Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

601 Broadway St
Ste 6
Madison, IN 47250

Organizations & group practices 3

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": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1295519791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "WARSAW",
            "state": "KY",
            "postal_code": "410950309",
            "telephone_number": "859-904-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 FRANKLIN ST",
            "city": "WARSAW",
            "state": "KY",
            "postal_code": "41095",
            "telephone_number": "859-904-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JORDAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014365A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4010954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, KY

Sources for this page

Verify at the official NPI Registry.