Individual provider Active NPI

Katie A Davis, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1447721584
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3012498 Issued in KY
Practice address
9800 Shelbyville Rd
Ste 220
Louisville, KY 40223-2992
Phone
(502) 429-8585
Fax
(502) 429-6157
NPI assigned
Dec 16, 2018
Last updated
Aug 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3012498 KY Primary

Addresses

Primary practice location

9800 Shelbyville Rd
Ste 220
Louisville, KY 40223-2992

Mailing address

9800 Shelbyville Rd
Ste 220
Louisville, KY 40223-2992
Phone (502) 429-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190129003512 KY Practitioner - Nurse Practitioner 4183961188 Reassigns benefits to 2 organizations
I20201012000734 IN Practitioner - Nurse Practitioner 4183961188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PSF PLLCGroup PAC ID 1557265543, 98 clinicians

Practice addresses (Care Compare)

2407 Ring Rd
100 Cool Springs Center
Elizabethtown, KY 42701-5938
Phone (270) 982-2112

3003 Charlestown Crossing Way D
Family Allergy and Asthma
New Albany, IN 47150-8302
Phone (812) 945-5653

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as group
Quality
86.03
Promoting interoperability
86
Improvement activities
40
Cost
73.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3012498KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Jan 8, 2019 Accepting new patients
PSF PLLC Nurse Practitioner CurrentSince Aug 31, 2020 Accepting new patients
Inspired Medical Services, LLC PastSince Aug 31, 2020 Accepting new patients

Locations

3003 Charlestown Xing
New Albany, IN 47150
Phone (812) 945-5653

3003 Charlestown Xing
Ste D
New Albany, IN 47150
Phone (812) 945-5653

111 Wildflower Ln
Ste A
Campbellsvlle, KY 42718
Phone (270) 469-3408

2407 Ring Rd
Ste 100
Elizabethtown, KY 42701
Phone (270) 982-2112

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

9080 Taylorsville Rd
Louisville, KY 40299
Phone (502) 491-8805

9800 Shelbyville Rd
Ste 220
Louisville, KY 40223
Phone (502) 429-8585

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1447721584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD",
            "address_2": "STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232992",
            "telephone_number": "502-429-8585",
            "fax_number": "502-429-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD",
            "address_2": "STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232992",
            "telephone_number": "502-429-8585",
            "fax_number": "502-429-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATIE",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3012498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.