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KATHLEEN CAROL DAVIS FNP NPI 1548750045


NPI Information

NPI: 1548750045
Provider Name: KATHLEEN CAROL DAVIS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: PRIMARY HEALTH CARE INC

PECOS Registration: Yes

Address:
1200 UNIVERSITY AVE STE 120
DES MOINES, IA
ZIP 50314
Phone: (515) 248-1500
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Kathleen Carol Davis, FNP is a family nurse practitioner in Des Moines, IA with 7 years of experience. Kathleen Carol Davis, FNP NPI is 1548750045. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

1200 UNIVERSITY AVE STE 120
DES MOINES, IA
ZIP 50314-355
Phone: (515) 248-1500
Fax: (515) 248-1510

The NPI 1548750045 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/10/2018 and was last updated on 10/12/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse Practitioner209017602ILLINOISNo
2363LF0000XNurse PractitionerFamilyA152354IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.