Active NPI
Kimberly Diane Davies, RN
- Registered Nurse
- Landsdale, PA
National Provider Identifier
1760729065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN620208
- Practice address
- 607 Main Street
Landsdale, PA 19446 - Phone
- (215) 362-4950
- NPI assigned
- Jan 8, 2013
- Last updated
- Jan 8, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN620208 | PA | Primary |
Addresses
Primary practice location
607 Main Street
Landsdale, PA 19446
Mailing address
518 S Main St
Sellersville, PA 18960-2518
Phone (267) 640-6054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN620208 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childway Pediatric Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Skilled Nursing Facility
- Colmar, PA
- NPI 1972874733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1760729065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 S MAIN ST",
"city": "SELLERSVILLE",
"state": "PA",
"postal_code": "189602518",
"telephone_number": "267-640-6054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 MAIN STREET",
"city": "LANDSDALE",
"state": "PA",
"postal_code": "19446",
"telephone_number": "215-362-4950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "KIMBERLY",
"middle_name": "DIANE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-08",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN620208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Landsdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.