Individual provider Active NPI

Kathryn Elizabeth Davis, PA

  • Physician Assistant
  • Hill City, KS
National Provider Identifier
1962040188
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02298 Issued in KS
Practice address
114 E Walnut St
Hill City, KS 67642-1722
Phone
(758) 421-2191
Fax
(785) 421-2421
NPI assigned
Dec 18, 2019
Last updated
Dec 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-02298 KS Primary

Addresses

Primary practice location

114 E Walnut St
Hill City, KS 67642-1722

Mailing address

114 E Walnut St
Hill City, KS 67642-1722
Phone (758) 421-2191

Other practice location 1

304 W Prout St
Hill City, KS 67642-1435
Phone (785) 421-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20200214000353 KS Practitioner - Physician Assistant 1557797396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graham County HospitalGroup PAC ID 8820067366, shared by 4 NPIs, 8 clinicians

Practice addresses (Care Compare)

114 E Walnut St
Hill City, KS 67642-1722
Phone (785) 421-2191

304 W Prout St
Hill City, KS 67642-1435
Phone (785) 421-2121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-02298KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Graham County Hospital Current Accepting new patients
Graham County Hospital CurrentSince Jan 1, 2020 Accepting new patients
Graham County Hospital CurrentSince Jan 1, 2020 Accepting new patients

Locations

114 E Walnut St
Hill City, KS 67642
Phone (785) 421-2121

304 W Prout St
Hill City, KS 67642
Phone (785) 421-2121

Interoperability endpoints

  • Direct secure messaging: kathryn.davis.1@16187.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1962040188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E WALNUT ST",
            "city": "HILL CITY",
            "state": "KS",
            "postal_code": "676421722",
            "telephone_number": "758-421-2191",
            "fax_number": "785-421-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E WALNUT ST",
            "city": "HILL CITY",
            "state": "KS",
            "postal_code": "676421722",
            "telephone_number": "758-421-2191",
            "fax_number": "785-421-2421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 W Prout St",
            "address_purpose": "LOCATION",
            "city": "Hill City",
            "state": "KS",
            "postal_code": "676421435",
            "country_code": "US",
            "telephone_number": "785-421-2121",
            "fax_number": "785-421-2034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hill City, KS

Sources for this page

Verify at the official NPI Registry.