KIMBERLY ANN DAVIDSON LVN
NPI 1164902789
Licensed Vocational Nurse in Paris, TX

NPI Status: Active since August 14, 2018

Contact Information

35 12TH ST SE
PARIS, TX
ZIP 75460
Phone: (855) 704-2700

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  • Individual
  • Female
  • Licensed Vocational Nurse
  • CLIA Number: 45D2117431
  • CLIA Cert. Type: Other - ONSITE OCCUPTATIONAL HC
  • CLIA Exp. Date: 08-15-2026

About KIMBERLY DAVIDSON

This page provides the complete NPI Profile along with additional information for Kimberly Davidson, a provider established in Paris, Texas with a medical specialization in Licensed Vocational Nurse. The healthcare provider is registered in the NPI registry with number 1164902789 assigned on August 2018. The practitioner's primary taxonomy code is 164X00000X with license number 130760 (TX). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1164902789
Provider Name
KIMBERLY ANN DAVIDSON LVN
Gender
Female
Entity Type
Individual
Location Address
35 12TH ST SE PARIS, TX 75460
Location Phone
(855) 704-2700
Mailing Address
570 PINE VALLEY DR RENO, TX 75462
Mailing Phone
(903) 272-6635
Is Sole Proprietor?
Yes
Enumeration Date
08-14-2018
Last Update Date
08-14-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Vocational Nurse

Taxonomy Code
164X00000X
Type
Nursing Service Providers
License No.
130760
License State
TX
Taxonomy Description
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2117431
Facility Type
Other - ONSITE OCCUPTATIONAL HC
Certificate Effective Date
August 16, 2024
Certificate Expiration Date
August 15, 2026
Laboratory Director
SHALONDA L. ROBERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kimberly Davidson to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164902789, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 8 + 0 + 4 + 7 + 1 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1164902789.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Home Health
35 12TH ST SE
PARIS, TX 75460
Licensed Vocational Nurse
35 12TH ST SE
PARIS, TX 75460
Licensed Vocational Nurse
35 12TH ST SE
PARIS, TX 75460
Registered Nurse (Pediatrics)
35 12TH ST SE
PARIS, TX 75460
Licensed Vocational Nurse
35 12TH ST SE
PARIS, TX 75460
Licensed Vocational Nurse
35 12TH ST SE
PARIS, TX 75460
Licensed Vocational Nurse
35 12TH ST SE
PARIS, TX 75460
Registered Nurse (Home Health)
35 12TH ST SE
PARIS, TX 75460
Registered Nurse (Home Health)
35 12TH ST SE
PARIS, TX 75460
Registered Nurse (Home Health)
35 12TH ST SE
PARIS, TX 75460
Licensed Practical Nurse
35 12TH ST SE
PARIS, TX 75460
Registered Nurse (Pediatrics)
35 12TH ST SE
PARIS, TX 75460
Licensed Vocational Nurse
35 12TH ST SE
PARIS, TX 75460
Licensed Practical Nurse
35 12TH ST SE
PARIS, TX 75460

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164902789, enumerated as an "individual" on August 14, 2018.

The provider is located at 35 12TH ST SE PARIS, TX 75460 and the phone number is (855) 704-2700.

Licensed Vocational Nurse with taxonomy code 164X00000X.