Kimberly Lynn Davies, RN FNPC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP112476 Issued in TX

Practice address

4300 W University Dr Ste 20
Prosper, TX 75078-9806

Phone

(682) 303-8000

Fax

(682) 303-8002

NPI assigned

Jul 1, 2006

Last updated

Apr 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kdavies162331@cookchildrens.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Complex Care Medical Services Corporation

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1013256098
  NPD (past)
• Cook Children's Medical Center

  dba Cook Children's Urgent Care Center

  • Urgent Care Clinic/Center
  • Fort Worth, TX
  • NPI 1093215477
  NPD (past)
• Cook Children's Medical Center

  dba Cook Childrens Urgent Care Group

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1538669916
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1427087535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99213",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761990213",
            "telephone_number": "682-885-1860",
            "fax_number": "682-885-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W UNIVERSITY DR STE 20",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789806",
            "telephone_number": "682-303-8000",
            "fax_number": "682-303-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "RN FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "254127",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP112476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdavies162331@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "1935 Medical District Dr",
            "address_2": "CHILDRENS MEDICAL CENTER",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752357701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdavies162331@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "4300 W University Dr Ste 20",
            "city": "Prosper",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750789806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• CVS Pharmacy Inc (CVS Pharmacy #17871)
• CVS Pharmacy Inc. (CVS Pharmacy # 10641)
• CVS Pharmacy, Inc. (CVS Pharmacy #02876)
• Nichole Yaa Dadzie
• Kian Daghighi, D.D.S.
• Gabrielle Davila
• Deanna R Davis, LMT
• Natalie Danielle Davis, FNP
• Tia Davis
• Adam Dayani

• Family Nurse Practitioner in Prosper, TX
• Providers in Prosper, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.