Individual provider Active NPI

Katie M Davidson, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1952864118
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29823 Issued in TX
Practice address
6620 Main St Ste 1450
Houston, TX 77030-2346
Phone
(281) 558-5570
NPI assigned
Apr 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP141204 TX
Family Nurse Practitioner 363LF0000X 29823 TX Primary

Addresses

Primary practice location

6620 Main St Ste 1450
Houston, TX 77030-2346

Mailing address

13103 Shoalwater LN
Pearland, TX 77584-3465
Phone (512) 917-8065

Other names 1

  • Amanda Morgan Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdavidson39984@bcm.ghhdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200211001621 TX Practitioner - Nurse Practitioner 9234565201 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29823TXMDPediatric Dentist
AP141204TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Oct 29, 2019 Accepting new patients
Baylor College of Medicine CurrentSince Oct 29, 2019 Accepting new patients
M.Haroon Siddiqui M.D.,P.a. PastSince Mar 9, 2020 Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6620 Main St
Ste 1450
Houston, TX 77030
Phone (713) 798-7500

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

Interoperability endpoints

  • Direct secure messaging: kdavidson33241@memorialhermann.direct-ci.com

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": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1952864118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13103 SHOALWATER LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843465",
            "telephone_number": "512-917-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 MAIN ST STE 1450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302346",
            "telephone_number": "281-558-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "KATIE",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141204",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "29823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdavidson39984@bcm.ghhdirect.net",
            "affiliation": "N",
            "address_1": "6620 Main St Ste 1450",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770302346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MORGAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.