Kathleen Floy David

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95022914 Issued in CA

Practice address

24516 Marbella Ave
Carson, CA 90745-6409

Phone

(310) 800-8722

NPI assigned

Sep 25, 2023

Sex

Female

Sole proprietor

No

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 CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1699554246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24516 MARBELLA AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907456409",
            "telephone_number": "310-800-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24516 MARBELLA AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907456409",
            "telephone_number": "310-800-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "KATHLEEN",
        "middle_name": "FLOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenifer Lu Dang
• Daniel Harvey MD a P C Medicine
• Katrina Daniel
• Darren Nakano Chiropractic, Professional Corporation
• Seema M Dave, OD
• Bettye Ruth Davis, AMFT
• Francine Davis, N.P.
• Lanisha Real Davis
• Nyaa Danielle Davis
• William Henry Davis, R.A.S.

• Family Nurse Practitioner in Carson, CA
• Providers in Carson, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.