Katie Marie Davis, MSN, CPNP-AC/PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

024179050 Issued in VA

Practice address

5807 Fox Briar Way
Midlothian, VA 23112-6364

Phone

(804) 205-8345

NPI assigned

Mar 25, 2020

Sex

Female

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

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• MCV Associated Physicians

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1710959457

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1508493883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 FOX BRIAR WAY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231126364",
            "telephone_number": "804-205-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 FOX BRIAR WAY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231126364",
            "telephone_number": "804-205-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "credential": "MSN, CPNP-AC/PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "024179050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Estelle Davis, NP
• Hannah Davis
• Heidi Maria Davis
• Jonathan Davis, DPT
• Julia Stanton Davis, DDS
• Mary Elizabeth Davis, OTD
• Michael R. Davis, DDS
• Sherwin Andrew Davis, M.ED,BCBA,LBA
• Stephanie Davis, RDN
• Theresa T Davis, FNP-BC

• Pediatrics Physician in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.