Active NPI
Kathryn M Davis, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Jeffersonville, IN
National Provider Identifier
1942523030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 71003200A
- Practice address
- 510 Spring St
Jeffersonville, IN 47130-3554 - Phone
- (812) 282-1888
- Fax
- (812) 218-9318
- NPI assigned
- Mar 4, 2010
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3006500 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71003200A | IN | Primary |
Addresses
Primary practice location
510 Spring St
Jeffersonville, IN 47130-3554
Mailing address
510 Spring St
Jeffersonville, IN 47130-3554
Phone (812) 282-1888
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50029506 | Other | KY | PASSPORT |
| 1487872636 | Other | RAILROAD GROUP NUMBER ARNP | |
| 82900176 | Other | KY | MEDICAID THERAPY GROUP |
| 2444451000 | Other | KY | PASSPORT GROUP |
| 78903689 | Other | KY | MEDICAID ARNP GROUP |
| P00830158 | Other | KY | RAILROAD MEDICARE # |
| 000000653631 | Other | ANTHEM | |
| 6764 | Other | KY | MEDICARE GROUP |
| 100386460 | Other | IN | MEDICAID GROUP |
| 160780 | Other | IN | MEDICARE GROUP |
| 160860 | Other | IN | MEDICARE GROUP |
| 200977990 | Medicaid | IN | |
| 7100113360 | Medicaid | KY | |
| CG2274 | Other | IN | MEDICARE RAILROAD GROUP |
| P00830157 | Other | IN | RAILROAD MEDICARE # |
| 000000056294 | Other | ANTHEM GROUP # | |
| 50704000 | Other | MAGELLAN GROUP MIS | |
| 65927857 | Other | KY | MEDICAID GROUP |
Other names 1
- Kay Davis
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71003200A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
| 3006500 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439596800000",
"number": "1942523030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 SPRING ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303554",
"telephone_number": "812-282-1888",
"fax_number": "812-218-9318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 SPRING ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303554",
"telephone_number": "812-282-1888",
"fax_number": "812-218-9318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KATHRYN",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-04",
"last_updated": "2015-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3006500",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "71003200A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50029506",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD GROUP NUMBER ARNP",
"identifier": "1487872636",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID THERAPY GROUP",
"identifier": "82900176",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT GROUP",
"identifier": "2444451000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID ARNP GROUP",
"identifier": "78903689",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE #",
"identifier": "P00830158",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000653631",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "6764",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "100386460",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "160780",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "160860",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200977990",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100113360",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD GROUP",
"identifier": "CG2274",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE #",
"identifier": "P00830157",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM GROUP #",
"identifier": "000000056294",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN GROUP MIS",
"identifier": "50704000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "65927857",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAY",
"last_name": "DAVIS",
"credential": "ARNP",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.