Active NPI
Kristin N. Davis, LMFT
- Marriage & Family Therapist
- Charlotte, NC
National Provider Identifier
1407244718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1926
- Practice address
- 9635 Southern Pine Blvd
Ste 101
Charlotte, NC 28273-5540 - Phone
- (704) 266-0651
- NPI assigned
- Jan 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1926 | NC | Primary |
Addresses
Primary practice location
9635 Southern Pine Blvd
Ste 101
Charlotte, NC 28273-5540
Mailing address
9635 Southern Pine Blvd
Ste 101
Charlotte, NC 28273-5540
Phone (704) 266-0651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1926 | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1407244718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9635 SOUTHERN PINE BLVD",
"address_2": "STE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282735540",
"telephone_number": "704-266-0651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9635 SOUTHERN PINE BLVD",
"address_2": "STE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282735540",
"telephone_number": "704-266-0651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KRISTIN",
"middle_name": "N.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-08",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.