Individual provider Active NPI

Kathleen Davis, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1972875508
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9266646 Issued in FL
Practice address
10055 University Blvd
Orlando, FL 32817-1902
Phone
(407) 679-4800
NPI assigned
Jan 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9266646 FL Primary

Addresses

Primary practice location

10055 University Blvd
Orlando, FL 32817-1902

Mailing address

10055 University Blvd
Orlando, FL 32817-1902
Phone (407) 679-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190222000822 FL Practitioner - Nurse Practitioner 6002067345 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Angela Acevedo MD PAGroup PAC ID 7911079165, 2 clinicians

Practice addresses (Care Compare)

6202 W Corporate Oaks Dr
Crystal River, FL 34429-2705
Phone (352) 795-9697

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Acevedo MD PA CurrentSince Jan 2, 2026 Accepting new patients
Adventist Health System/Sunbelt, Inc Family CurrentSince Mar 11, 2024 Accepting new patients
Adventist Health System Sunbelt Inc Family Current Accepting new patients
Adventist Health System/Sunbelt, Inc Family CurrentSince Mar 11, 2024 Accepting new patients
VMD Primary Providers Central Florida PLLC CurrentSince Mar 21, 2022 Accepting new patients
VMD Primary Providers Central Florida PLLC PastSince May 8, 2022 Accepting new patients
Nelcare Primary Group LLC PastSince Jan 2, 2026 Accepting new patients

Locations

4404 S Highway 27
Clermont, FL 34711

6202 W Corporate Oaks Dr
Crystal River, FL 34429
Phone (305) 289-4545

204 S Apopka Ave
Inverness, FL 34452
Phone (352) 341-1155

210 Southern Breeze Dr
Minneola, FL 34715

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

Organizations & group practices 7

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": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1972875508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10055 UNIVERSITY BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171902",
            "telephone_number": "407-679-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10055 UNIVERSITY BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171902",
            "telephone_number": "407-679-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9266646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.