Active NPI
Katie M Davidson, FNP-C
- Family Nurse Practitioner
- Houston, TX
National Provider Identifier
1952864118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 29823
- 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
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 |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29823 | TX | MD | Pediatric Dentist |
| AP141204 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| M.Haroon Siddiqui M.D.,P.a. | Past | 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
- 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.
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- NPI 1700683844
-
- Pediatrics Physician
- Houston, TX
- NPI 1427683176
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.