Individual provider Active NPI

Kimberly Ann Davis, APRN

  • Adult Health Nurse Practitioner
  • Farmington, CT
National Provider Identifier
1780928861
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5142 Issued in CT
Practice address
263 Farmington Ave
Farmington, CT 06030-2204
Phone
(860) 679-8300
Fax
(860) 679-8344
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 22036 SC
Adult Health Nurse Practitioner 363LA2200X 5142 CT Primary

Addresses

Primary practice location

263 Farmington Ave
Farmington, CT 06030-2204

Mailing address

263 Farmington Ave
Farmington, CT 06030-2204
Phone (860) 679-8300

Other practice location 1

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-0726

Other identifiers 1

IdentifierTypeStateIssuer
NP5496MedicaidSC

Other names 1

  • Kimberly Ann Lamarre Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdavis81512@direct.med.uchc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130207000388 CT Practitioner - Nurse Practitioner 8921252545 Reassigns benefits to 4 organizations
I20181203001971 SC Practitioner - Nurse Practitioner 8921252545 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

Practice addresses (Care Compare)

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 545-2841

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5142CTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center CurrentSince Jan 1, 2025 Accepting new patients
Hartford Hospital CurrentSince Nov 26, 2012 Accepting new patients
Hartford Healthcare Medical Group, Inc Nurse Practitioner CurrentSince Feb 1, 2017 Accepting new patients
Hartford Hospital CurrentSince Nov 26, 2012 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Oct 11, 2018 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Vibra Physicians LLC CurrentSince Sep 7, 2019 Accepting new patients
University of Connecticut Health Center Adult Health CurrentSince Jan 1, 2025 Accepting new patients
University Medical Associates of the Medical University of South Carol Nurse Practitioner CurrentSince Oct 11, 2018 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Mar 15, 2021 Accepting new patients
Hartford Hospital CurrentSince Nov 26, 2012 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Mar 15, 2021 Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

2145 Henry Tecklenburg Dr
Ste 220
Charleston, SC 29414
Phone (843) 958-2555

8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260

1200 Hospital Dr
Mt Pleasant, SC 29464
Phone (843) 226-7721

3510 N Highway 17
Ste 220
Mt Pleasant, SC 29466
Phone (843) 720-8317

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

Interoperability endpoints

  • Direct secure messaging: kdavis81512@direct.med.uchc.edu

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1780928861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302204",
            "telephone_number": "860-679-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302204",
            "telephone_number": "860-679-8300",
            "fax_number": "860-679-8344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Seymour St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061028000",
            "country_code": "US",
            "telephone_number": "860-972-0726",
            "fax_number": "860-545-1976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "22036",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "5142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5496",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdavis81512@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "263 Farmington Ave",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060302204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "LAMARRE",
            "middle_name": "ANN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.