Individual provider Active NPI

Katina Davis-Kennedy, DNP, FNP-C, PMHNP

  • Family Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1891953451
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9204487 Issued in FL
Practice address
2901 Coral Hills Dr Ste 330
Coral Springs, FL 33065-4165
Phone
(954) 231-8700
Fax
(954) 231-8707
NPI assigned
May 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9204487 FL
Family Nurse Practitioner 363LF0000X ARNP9204487 FL Primary

Addresses

Primary practice location

2901 Coral Hills Dr Ste 330
Coral Springs, FL 33065-4165

Mailing address

2901 Coral Hills Dr Ste 330
Coral Springs, FL 33065-4165
Phone (954) 231-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190130000871 FL Practitioner - Nurse Practitioner 9436496361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr. Katina Health and Wellness, IncGroup PAC ID 1456762301, 2 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

2901 Coral Hills Dr
Suite 330
Coral Springs, FL 33065-4165
Phone (954) 231-8700

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9204487FLMDFamily Nurse Practitioner
APRN9204487FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 26, 2023 Accepting new patients
Dr. Katina Health and Wellness, Inc Family CurrentSince Oct 23, 2020 Accepting new patients
Vitalmd Group Holding LLC PastSince Sep 1, 2020 Accepting new patients

Locations

2901 Coral Hills Dr
Ste 330
Coral Springs, FL 33065
Phone (954) 231-8700

6191 W Atlantic Blvd
Ste 3
Margate, FL 33063

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1891953451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CORAL HILLS DR STE 330",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654165",
            "telephone_number": "954-231-8700",
            "fax_number": "954-231-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CORAL HILLS DR STE 330",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654165",
            "telephone_number": "954-231-8700",
            "fax_number": "954-231-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-KENNEDY",
        "first_name": "KATINA",
        "credential": "DNP, FNP-C, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9204487",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9204487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.