Individual provider Active NPI

Karen Carpi Davis, PA-C

  • Physician Assistant
  • Zephyrhills, FL
National Provider Identifier
1396796223
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101269 Issued in FL
Practice address
38162 Medical Center Ave
Zephyrhills, FL 33540-1380
Phone
(813) 341-1480
Fax
(813) 528-8730
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101269 FL Primary

Addresses

Primary practice location

38162 Medical Center Ave
Zephyrhills, FL 33540-1380

Mailing address

5220 Summerlin Commons Blvd FL 4
Fort Myers, FL 33907-2149
Phone (239) 437-8810

Other practice location 1

5210 Webb Rd
Tampa, FL 33615-4518
Phone (813) 882-9986

Other practice location 2

1122 Druid Rd E
Clearwater, FL 33756-4100
Phone (727) 461-2282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040625000234 FL Practitioner - Physician Assistant 6305822966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqua Dermatology of Florida, PAGroup PAC ID 1153390414, 184 clinicians

Practice addresses (Care Compare)

1015 Crosspointe Dr
Naples, FL 34110-0949
Phone (239) 596-9075

38162 Medical Ctr Ave
Zephyrhills, FL 33540-1380
Phone (813) 782-2165

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Sep 1, 2019 Accepting new patients

Locations

1122 Druid Rd E
Clearwater, FL 33756
Phone (727) 461-2282

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

14840 Tamiami Trl
North Port, FL 34287
Phone (941) 564-1542

15310 Amberly Dr
Ste 150
Tampa, FL 33647
Phone (813) 978-8888

38162 Medical Center Ave
Zephyrhills, FL 33540
Phone (813) 782-2165

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: kdavis1@aquadermatology.emadirect.md

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1396796223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 SUMMERLIN COMMONS BLVD FL 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072149",
            "telephone_number": "239-437-8810",
            "fax_number": "239-666-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38162 MEDICAL CENTER AVE",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335401380",
            "telephone_number": "813-341-1480",
            "fax_number": "813-528-8730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5210 Webb Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336154518",
            "country_code": "US",
            "telephone_number": "813-882-9986",
            "fax_number": "813-882-9849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1122 Druid Rd E",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337564100",
            "country_code": "US",
            "telephone_number": "727-461-2282",
            "fax_number": "727-443-6170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KAREN",
        "middle_name": "CARPI",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.