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KENYATT RENEE DAVIS NP
NPI 1083506471
Nurse Practitioner - Family in Los Angeles, CA

Active since July 18, 2025PECOS Enrolled
1100 S ALVARADO ST, LOS ANGELES, CA 90006(847) 235-6130(847) 235-6135 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2026, Aug 7, 2025 (2 updates tracked since 2025).

About Kenyatt Renee Davis Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENYATT RENEE DAVIS NP (NPI 1083506471) is an individual family provider in Los Angeles, California, licensed in California (95035164) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083506471
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENYATT RENEE DAVISCredential: NP
Location Address1100 S ALVARADO STLos Angeles, CA 90006-4110
Mailing Address6348 N Milwaukee Ave # 390Chicago, IL 60646-3728 · (847) 235-6130 · Fax (847) 235-6135
Phone(847) 235-6130
Fax(847) 235-6135
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 18, 2025
Last NPPES UpdateMay 21, 20262 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1083506471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95035164
1100 S ALVARADO ST, Los Angeles, CA 90006
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenyatt Renee Davis Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840761235
PECOS Enrollment IDI20260605003733
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

1100 SOUTH ALVARADO STREET, LLC
Skilled Nursing Facility
1100 S ALVARADO ST
LOS ANGELES, CA 90006
Los Angeles County (213) 487-3000
RONGLAN ZHENG MD, PHD
Physical Medicine & Rehabilitation
1100 S ALVARADO ST
LOS ANGELES, CA 90006
Los Angeles County (872) 231-3162

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenyatt Davis's NPI number?

The NPI number for Kenyatt Davis is 1083506471. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Kenyatt Davis located?

Kenyatt Davis practices at 1100 S Alvarado St, Los Angeles, CA 90006. The listed phone number is (847) 235-6130.

What is Kenyatt Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kenyatt Davis enrolled in Medicare?

Yes. Kenyatt Davis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenyatt Davis was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.