Active NPI
Katherine Davis O'Keeffe
- Nurse Practitioner
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5017354
- Practice address
- 2810 Maplewood Ave
Winston Salem, NC 27103-4138 - Phone
- (336) 860-6194
- NPI assigned
- Dec 13, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | DAVI-DB4IR | NC | |
| Nurse Practitioner | 363L00000X | 5017354 | NC | Primary |
Addresses
Primary practice location
2810 Maplewood Ave
Winston Salem, NC 27103-4138
Mailing address
PO Box 604050
Charlotte, NC 28260-4050
Other practice location 1
730 Highland Oaks Dr
Winston Salem, NC 27103-7154
Phone (336) 646-7323
Other names 1
- Katherine Anne Davis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
730 Highland Oaks Dr
Winston Salem, NC 27103-7154
Phone (336) 646-7323
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5017354 | NC | MD | Nurse Practitioner |
| DAVI-DB4IR | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NH-CL Clinics, LLC | Current | Accepting new patients | |
| Neurosurgical Associates of the | Current | Accepting new patients |
Locations
6371 Jessie Ln
Clemmons, NC 27012
Phone (336) 740-9060
18 Oak Branch Dr
Ste C
Greensboro, NC 27407
Phone (336) 579-2312
500 Pineview Dr
Ste 205
Kernersville, NC 27284
Phone (336) 310-6115
6329 Unity St
Ste A
Thomasville, NC 27360
Phone (336) 474-0278
2810 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 768-1811
730 Highland Oaks Dr
Winston Salem, NC 27103
Phone (336) 646-7323
Interoperability endpoints
- kdavis863551@direct.novanthealth.org
Organizations & group practices 2
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.
-
dba CoreLife Novant Health
- Family Medicine Physician
- Kernersville, NC
- NPI 1487276499
-
- Neurological Surgery Physician
- Winston Salem, NC
- NPI 1003917725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1871204594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 604050",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282604050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 MAPLEWOOD AVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034138",
"telephone_number": "336-860-6194"
}
],
"practiceLocations": [
{
"address_1": "730 Highland Oaks Dr",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271037154",
"country_code": "US",
"telephone_number": "336-646-7323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'KEEFFE",
"first_name": "KATHERINE",
"middle_name": "DAVIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-13",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "DAVI-DB4IR",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5017354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "DAVIS",
"middle_name": "ANNE",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.