Kaitlin Marie Davis, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

108752 Issued in WV

Practice address

483 Court St
Elizabeth, WV 26143-1109

Phone

(304) 275-3301

NPI assigned

Mar 28, 2021

Last updated

Jan 27, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, OH2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

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.

• Wirt County Health Services Association Inc

  dba Ripley Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Ripley, WV
  • NPI 1043401730
  Medicare reassignment NPD
• Wirt County Health Services Association Inc

  dba Parkersburg Family Care B

  • Federally Qualified Health Center (FQHC)
  • Parkersburg, WV
  • NPI 1548777527
  Medicare reassignment NPD
• Matrix Medical Network of West

  dba Matrix Medical Network

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1942569033

  WV

  Medicare reassignment NPD
• Matrix Medical Plus

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1376973461

  WV

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  WV

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  OH

  Medicare reassignment NPD
• Wirt County Health Services Association Inc

  dba West Virginia University at Parkersburg Health and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Parkersburg, WV
  • NPI 1497484091
  NPD
• Wirt County Health Services Association, Inc

  dba RiverValley Health & Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Ravenswood, WV
  • NPI 1356403703
  NPD
• Wirt County Health Services Association, Inc

  dba Wirt County Family Care

  • Federally Qualified Health Center (FQHC)
  • Elizabeth, WV
  • NPI 1538179411
  NPD

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

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1467039040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 COURT ST",
            "city": "ELIZABETH",
            "state": "WV",
            "postal_code": "261431109",
            "telephone_number": "304-275-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 COURT ST",
            "city": "ELIZABETH",
            "state": "WV",
            "postal_code": "261431109",
            "telephone_number": "304-275-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KAITLIN",
        "middle_name": "MARIE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-28",
        "last_updated": "2022-01-27",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "108752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Cottrill
• Jackson Newell Crain
• Jessica Crockett
• Gabrielle Cunningham
• Tiffany Nichole Dalton
• Loretta Lynn Deweese
• Timi Ann Dicecco
• Corinne Dickson
• Kelly Marie Digman, RN
• Cristina G. Estrada, MD

• Family Nurse Practitioner in Elizabeth, WV
• Providers in Elizabeth, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.