Individual provider Active NPI

Kristen Marie Davis, NP-C

  • Family Nurse Practitioner
  • Urbana, OH
National Provider Identifier
1497277784
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.021160 Issued in OH
Practice address
605 Miami St
Urbana, OH 43078-1986
Phone
(937) 599-1411
Fax
(937) 599-4128
NPI assigned
Jul 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.021160 OH Primary

Addresses

Primary practice location

605 Miami St
Urbana, OH 43078-1986

Mailing address

212 E Columbus Ave
Bellefontaine, OH 43311-2033
Phone (937) 599-1411

Other practice location 1

1391 Main St
Hamilton, OH 45013-1077
Phone (513) 867-9000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristen.davis@chwplc.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260325001935 OH Order and Referring Only - Nurse Practitioner 8325319031

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7300 Beechmont Ave
Cincinnati, OH 45230-4119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health & Wellness Partners of Logan County CurrentSince Dec 10, 2023 Accepting new patients
Spirit Soul and Body Integrative Health, LLC Family Current Accepting new patients
Community Health & Wellness Partners of Logan County CurrentSince Dec 10, 2023 Accepting new patients
Pathology Laboratories, Inc. PastSince Dec 10, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

212 E Columbus Ave
Ste 1
Bellefontaine, OH 43311
Phone (937) 599-1511

605 Miami St
Urbana, OH 43078

4879 US Highway 68 S
West Liberty, OH 43357
Phone (937) 599-5175

Interoperability endpoints

  • Direct secure messaging: kristen.davis@chwplc.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1499558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1497277784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E COLUMBUS AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112033",
            "telephone_number": "937-599-1411",
            "fax_number": "937-599-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MIAMI ST",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430781986",
            "telephone_number": "937-599-1411",
            "fax_number": "937-599-4128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1391 Main St",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450131077",
            "country_code": "US",
            "telephone_number": "513-867-9000",
            "fax_number": "513-785-3675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-09",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristen.davis@chwplc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4879 US Highway 68 S",
            "city": "West Liberty",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433579525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Urbana, OH

Sources for this page

Verify at the official NPI Registry.