Kimberly Renee Davis, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3014394 Issued in KY

Practice address

1561 Newton Ave
Bowling Green, KY 42104-3238

Phone

(731) 394-1145

NPI assigned

Feb 25, 2020

Last updated

Jul 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pineville Community Health Center IncGroup PAC ID 5698009157, shared by 4 NPIs, 39 clinicians

Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Breckinridge Memorial Hospital Hospital, Hardinsburg, KY, CCN 181319

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ultra Health LLC

  dba Ultra Health Provders

  • Geriatric Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1922469543

  KY

  Medicare reassignment Care Compare group NPD
• Midwest Home Physicians Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1760086540

  KY

  Medicare reassignment NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  Family Medicine, KY

  Medicare reassignment NPD
• Ultra Health Providers III LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1366307696

  KY

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Breckinridge Health Inc

  dba BHI Walk In Clinic

  • Urgent Care Clinic/Center
  • Hardinsburg, KY
  • NPI 1093227431

  Hospital

  Care Compare affiliation
• Breckinridge Health Inc

  dba BHI Anesthesiology

  • Anesthesiology Physician
  • Hardinsburg, KY
  • NPI 1649798075

  Hospital

  Care Compare affiliation
• Breckinridge Health Inc

  dba Breckinridge Surgical Services

  • Specialist
  • Hardinsburg, KY
  • NPI 1730520875

  Hospital

  Care Compare affiliation
• Breckinridge Health Inc.

  dba Breckinridge Health ENT

  • Otolaryngology Physician
  • Hardinsburg, KY
  • NPI 1831674811

  Hospital

  Care Compare affiliation
• Breckinridge Health, Inc

  • Critical Access Hospital
  • Hardinsburg, KY
  • NPI 1104828383
  Care Compare affiliation

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1952935371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 NEWTON AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043238",
            "telephone_number": "270-775-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 NEWTON AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043238",
            "telephone_number": "731-394-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3014394",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Tomes Davis, M.D.
• Joe T Davis, MD
• Jossie Davis
• Julia Davis, RBT
• Kaitlyn Lee Davis
• Taylor Renee Davis
• Meradeth Carroll Dawson
• Claudia Day
• Dba James R Toney
• DBT Center of Western Kentucky, LLC

• Family Nurse Practitioner in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.

Verify at the official NPI Registry.