Active NPI
Kayla Davis, FNP
- Family Nurse Practitioner
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 277298
- Practice address
- 4627 S Concorde LN
Mesa, AZ 85212-9418 - Phone
- (480) 258-2738
- NPI assigned
- Jul 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 277298 | AZ | Primary |
Addresses
Primary practice location
4627 S Concorde LN
Mesa, AZ 85212-9418
Mailing address
4627 S Concorde LN
Mesa, AZ 85212-9418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220727003940 | AZ | Practitioner - Nurse Practitioner | 7214319946 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chandler Emergency Medical Group LLCHonorhealth Urgent Care LLC
Practice addresses (Care Compare)
3555 S Val Vista Dr
Gilbert, AZ 85297-7323
Phone (954) 939-5000
835 W University Dr
Mesa, AZ 85201-5555
Phone (480) 664-6007
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.21 of 100
- Quality
- 77.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Urgent Care, LLC | Current | Accepting new patients | |
| Honorhealth Urgent Care, LLC | Current | Accepting new patients | |
| Chandler Emergency Medical Group, LLC | Current | Accepting new patients | |
| Honorhealth Urgent Care, LLC | Current | Accepting new patients |
Locations
3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444
1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961
3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356
835 W University Dr
Mesa, AZ 85201
Phone (480) 664-6007
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Mesa, AZ
- NPI 1427615012
-
- Urgent Care Clinic/Center
- Scottsdale, AZ
- NPI 1700423415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1306579826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4627 S CONCORDE LN",
"city": "MESA",
"state": "AZ",
"postal_code": "852129418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4627 S CONCORDE LN",
"city": "MESA",
"state": "AZ",
"postal_code": "852129418",
"telephone_number": "480-258-2738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KAYLA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-01",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "277298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.