Individual provider Active NPI

Katherine Davidson, ARNP

  • Adult Health Nurse Practitioner
  • Winter Haven, FL
National Provider Identifier
1649670589
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP2680642 Issued in FL
Practice address
325 1St St N
Winter Haven, FL 33881-4111
Phone
(863) 293-1191
NPI assigned
Aug 28, 2014
Last updated
Jun 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP2680642 FL Primary

Addresses

Primary practice location

325 1St St N
Winter Haven, FL 33881-4111

Mailing address

500 E Central Ave
Winter Haven, FL 33880-3053
Phone (863) 293-1191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20141002002445 FL Practitioner - Nurse Practitioner 6507086139 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventhealth Bond Clinic, Inc.Group PAC ID 2264931294, 87 clinicians

Practice addresses (Care Compare)

325 1St St N
Winter Haven, FL 33881-4411
Phone (863) 293-1191

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Bond Clinic, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Bond Urgent Care LLC CurrentSince Jun 1, 2019 Accepting new patients
Adventhealth Bond Clinic, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Bond Clinic PA CurrentSince Sep 2, 2014 Accepting new patients
Bond Clinic PA CurrentSince Sep 2, 2014 Accepting new patients

Locations

2039 E Edgewood Dr
Lakeland, FL 33803
Phone (863) 937-1050

325 1st St N
Winter Haven, FL 33881

500 E Central Ave
Winter Haven, FL 33880
Phone 86329311913286

Interoperability endpoints

  • Direct secure messaging: katherine.davidson.p1@direct.bondclinicpa.nextgenshare.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, 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": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1649670589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803053",
            "telephone_number": "863-293-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 1ST ST N",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814111",
            "telephone_number": "863-293-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "KATHERINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP2680642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.