Individual provider Active NPI

Lashay Tamaine Davis, CRNP

  • Acute Care Nurse Practitioner
  • Phoenixville, PA
National Provider Identifier
1407466444
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP022297 Issued in PA
Practice address
140 Nutt Rd
Phoenixville, PA 19460-3900
Phone
(610) 983-1000
NPI assigned
Aug 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP022297 PA Primary

Addresses

Primary practice location

140 Nutt Rd
Phoenixville, PA 19460-3900

Mailing address

519 Norwood House Rd
Downingtown, PA 19335-2372
Phone (609) 457-3810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20201007002910 PA Practitioner - Nurse Practitioner 4284053448 Reassigns benefits to 1 organization
I20240514000272 DE Practitioner - Nurse Practitioner 4284053448 Reassigns benefits to 1 organization
I20260213001576 MD Practitioner - Nurse Practitioner 4284053448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinetic Medical GroupGroup PAC ID 5294141909, 10 clinicians

Practice addresses (Care Compare)

144 Washington Rd
Edgewater, MD 21037-1412
Phone (703) 485-5689

700 Foulk Rd
Wilmington, DE 19803-3708
Phone (302) 664-2880

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149
  • Amedisys Home Health of Maryland Home health agency, Glen Burnie, MD, CCN 217108
  • Medstar Health Home Care Home health agency, Hyattsville, MD, CCN 217150

Merit-based Incentive Payment System (MIPS)

Final score
85.14 of 100Reported as group
Quality
74.13
Promoting interoperability
98
Improvement activities
40
Cost
78.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP022297PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Medical Group CurrentSince Mar 16, 2024 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Nov 8, 2020 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Nov 8, 2020 Accepting new patients
Phoenixville Clinic Company LLC Current Accepting new patients

Locations

700 Foulk Rd
Wilmington, DE 19803
Phone (302) 328-1582

144 Washington Rd
Edgewater, MD 21037
Phone (410) 956-5000

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4

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.

Hospital & facility affiliations 3

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": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1407466444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 NORWOOD HOUSE RD",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352372",
            "telephone_number": "609-457-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NUTT RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603900",
            "telephone_number": "610-983-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LASHAY",
        "middle_name": "TAMAINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP022297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.