NPIMap

Individual provider Active NPI

Kindra Rose Davis, APN-NP

  • Family Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1689118440
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0992854-NP Issued in CO
Practice address
303 Colland Dr
Fort Collins, CO 80525-4205
Phone
(970) 821-3525
NPI assigned
Dec 14, 2016
Last updated
Mar 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0992854-NP CO Primary
Registered Nurse 163W00000X RN.0172190 CO

Addresses

Primary practice location

303 Colland Dr
Fort Collins, CO 80525-4205

Mailing address

303 Colland Dr
Fort Collins, CO 80525-4205
Phone (970) 821-3031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170519000637 CO Practitioner - Nurse Practitioner 1850668021 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Clinic PCGroup PAC ID 7315914405, 18 clinicians

Practice addresses (Care Compare)

3351 Eastbrook Dr
Suite 100
Fort Collins, CO 80525-5744
Phone (970) 493-7733

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.0172190COMDRegistered Nurse
APN.0992854-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Mar 17, 2020 Accepting new patients
Banner Hospital Based Physicians Colorado LLC Current Accepting new patients
Nephrology Clinic PC CurrentSince Jan 1, 2024 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Mar 17, 2020 Accepting new patients
Banner Urgent Care Colorado CurrentSince Jan 1, 2018 Accepting new patients
Banner Urgent Care Colorado CurrentSince Jan 1, 2018 Accepting new patients
Nephrology Clinic PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

3351 Eastbrook Dr
Ste 100
Fort Collins, CO 80525

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

2001 70th Ave
Ste 110
Greeley, CO 80634
Phone (970) 378-4155

8229 W 20th St
Greeley, CO 80634

2555 E 13th St
Ste 110
Loveland, CO 80537
Phone (970) 461-6140

2988 Ginnala Dr
Loveland, CO 80538
Phone (970) 633-0815

620 Iris Dr
Sterling, CO 80751
Phone (970) 313-2740

Organizations & group practices 7

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1689118440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 COLLAND DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254205",
            "telephone_number": "970-821-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 COLLAND DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254205",
            "telephone_number": "970-821-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KINDRA",
        "middle_name": "ROSE",
        "credential": "APN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992854-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.0172190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.