Active NPI
Kathleen Davis, ARNP
- Family Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9266646
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angela Acevedo MD PA | Current | Accepting new patients | |
| Adventist Health System/Sunbelt, Inc | Family | Current | Accepting new patients |
| Adventist Health System Sunbelt Inc | Family | Current | Accepting new patients |
| Adventist Health System/Sunbelt, Inc | Family | Current | Accepting new patients |
| VMD Primary Providers Central Florida PLLC | Current | Accepting new patients | |
| VMD Primary Providers Central Florida PLLC | Past | Accepting new patients | |
| Nelcare Primary Group LLC | Past | 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.
-
- Family Medicine Physician
- Winter Garden, FL
- NPI 1427296730
Family, FL
-
- Family Medicine Physician
- Saint Cloud, FL
- NPI 1134738974
FL
-
- Primary Care Nurse Practitioner
- Crystal River, FL
- NPI 1134046261
-
- Family Medicine Physician
- Land O Lakes, FL
- NPI 1437836947
Family
-
- Family Medicine Physician
- Clermont, FL
- NPI 1780342618
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.