Kolton Davidson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3000 W Spencer St Apt B18
Appleton, WI 54914-4354

Phone

(920) 540-4190

NPI assigned

Jul 22, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1447803002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 N LEONA ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549114232",
            "telephone_number": "920-730-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W SPENCER ST APT B18",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549144354",
            "telephone_number": "920-540-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "KOLTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David a Eggert MD SC
• David J Emanuel DDS SC
• Jay Joseph Davide, LAT
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• Eric Eugene Davidson, D.C.
• Alyssa Davies, DPT
• Hannah M Davies, PA-C
• Amy Davis
• Bruce Davis, SAC
• Jane M Davis

• Case Manager/Care Coordinator in Appleton, WI
• Providers in Appleton, WI by specialty
• Case Manager/Care Coordinator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.