Individual provider Active NPI

Kailey Davis

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1609618610
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1107083 Issued in TX
Practice address
2277 NW Military Hwy # 100
San Antonio, TX 78213-1853
Phone
(210) 796-8602
NPI assigned
Jun 10, 2024
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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 1107083 TX Primary

Addresses

Primary practice location

2277 NW Military Hwy # 100
San Antonio, TX 78213-1853

Mailing address

2277 NW Military Hwy # 100
San Antonio, TX 78213-1853
Phone (210) 342-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250612002164 TX Practitioner - Nurse Practitioner 5890206395 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hormazd Sanjana M.D., P.a. CurrentSince Apr 10, 2025 Accepting new patients
Richard Palmer, M.D., P.a. CurrentSince Apr 10, 2025 Accepting new patients

Locations

19276 Stone Oak Pkwy
Ste 103
San Antonio, TX 78258
Phone (210) 403-9170

2277 NW Military Hwy
#100
San Antonio, TX 78213
Phone (210) 342-7300

2277 NW Military Hwy
Ste 100
San Antonio, TX 78213
Phone (210) 342-7300

6409 Bandera Rd
San Antonio, TX 78238
Phone (210) 549-4400

Interoperability endpoints

  • Direct secure messaging: kailey.davis.1@10878.direct.athenahealth.com

Organizations & group practices 2

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": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1609618610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 NW MILITARY HWY # 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131853",
            "telephone_number": "210-342-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 NW MILITARY HWY # 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131853",
            "telephone_number": "210-796-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1107083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.