Individual provider Active NPI

Kaleb Heath Davis, FNP-C

  • Family Nurse Practitioner
  • Hamilton, TX
National Provider Identifier
1356007660
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1057760 Issued in TX
Practice address
400 N Brown St
Hamilton, TX 76531-1518
Phone
(254) 386-1600
NPI assigned
Nov 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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 1057760 TX Primary

Addresses

Primary practice location

400 N Brown St
Hamilton, TX 76531-1518

Mailing address

400 N Brown St
Hamilton, TX 76531-1518

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
I20211214000597 TX Practitioner - Nurse Practitioner 8628468253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton County Hospital DistrictGroup PAC ID 2062326234, 24 clinicians

Practice addresses (Care Compare)

400 N Brown St
Hamilton, TX 76531-1518

Hospital & facility affiliations

  • Hamilton General Hospital Hospital, Hamilton, TX, CCN 451392

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton County Hospital District CurrentSince Nov 12, 2021 Accepting new patients
Hamilton County Hospital District CurrentSince Nov 12, 2021 Accepting new patients
Hamilton County Hospital District Past Accepting new patients

Locations

400 N Brown St
Hamilton, TX 76531
Phone (254) 386-1600

104 S Walnut St
Hico, TX 76457
Phone (254) 796-4224

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1356007660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N BROWN ST",
            "city": "HAMILTON",
            "state": "TX",
            "postal_code": "765311518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N BROWN ST",
            "city": "HAMILTON",
            "state": "TX",
            "postal_code": "765311518",
            "telephone_number": "254-386-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KALEB",
        "middle_name": "HEATH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1057760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, TX

Sources for this page

Verify at the official NPI Registry.