Lina Chang Davison

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1179633 Issued in TX

Practice address

22698 Professional Dr Ste 110
Kingwood, TX 77339-5705

Phone

(346) 305-5660

NPI assigned

Dec 6, 2024

Last updated

Dec 6, 2024By 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 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Baylor St. Luke's Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
• St Luke's the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA
• Direct secure messaging: ldavison403953@direct.stlukeshealth.org

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.

• Baylor St. Luke's Medical Group

  • Internal Medicine Physician
  • The Woodlands, TX
  • NPI 1740485879

  Family

  Medicare reassignment Care Compare group NPD
• Baylor College of Medicine

  • Orthopaedic Surgery Physician
  • Sugar Land, TX
  • NPI 1700683844
  NPD (past)
• East Texas Clinical Services Inc

  • Internal Medicine Physician
  • Shenandoah, TX
  • NPI 1326596776
  NPD (past)

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

• Memorial Hermann Health System

  dba Memorial Hermann Northeast

  • General Acute Care Hospital
  • Humble, TX
  • NPI 1295843787
  Care Compare affiliation
• St. Luke's Community Health Services

  dba St. Luke's The Woodlands Hospital

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1942208616
  Care Compare affiliation

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1972319788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22698 PROFESSIONAL DR STE 110",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22698 PROFESSIONAL DR STE 110",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395705",
            "telephone_number": "346-305-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "LINA",
        "middle_name": "CHANG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1179633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny La'Nell Davis
• Garth P. Davis, MD
• John Davis, MD
• Sarah Davis
• Tameka Jenene Davis
• Cecily Batiste Dawson, LPC
• Daybreak Counseling Services, PLLC
• Melissa De Costa, APRN
• Stephanie Marie De Luise
• Brittinee Deann Dean, BEHAVIOR TECHNICIAN

• Family Nurse Practitioner in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.