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KELLY NICOLE DAVIS DO
NPI 1467154583
Student in an Organized Health Care Education/Training Program in Lone Tree, CO

Active since March 21, 2023PECOS Enrolled
10099 RIDGEGATE PKWY STE 200, LONE TREE, CO 80124(720) 225-4466 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Nicole Davis Do NPPES

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

KELLY NICOLE DAVIS DO (NPI 1467154583) is an individual student in an organized health care education/training program in Lone Tree, Colorado and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467154583
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY NICOLE DAVISCredential: DO
Location Address10099 RIDGEGATE PKWY STE 200Lone Tree, CO 80124-5532
Mailing Address10099 Ridgegate Pkwy Ste 200Lone Tree, CO 80124-5532 · (720) 225-4466
Phone(720) 225-4466
Sole ProprietorNo
Enumeration DateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
✔ NPI 1467154583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
10099 RIDGEGATE PKWY STE 200, Lone Tree, CO 80124
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Nicole Davis Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

DR. ANGEL ANTHONY EGUARAS III M.D.
Student in an Organized Health Care Education/Training Program
10099 RIDGEGATE PKWY STE 200
LONE TREE, CO 80124
Douglas County (720) 476-3364
KENYA LINDSTROM DO
Student in an Organized Health Care Education/Training Program
10099 RIDGEGATE PKWY STE 200
LONE TREE, CO 80124
Douglas County (720) 225-4464
ALISA GERMEYER DO
Student in an Organized Health Care Education/Training Program
10099 RIDGEGATE PKWY STE 200
LONE TREE, CO 80124
Douglas County (720) 225-4466
LOGAN BLACKNEY DO
Student in an Organized Health Care Education/Training Program
10099 RIDGEGATE PKWY STE 200
LONE TREE, CO 80124
Douglas County (720) 225-4466
MS. ALEX KRETOWICZ
Student in an Organized Health Care Education/Training Program
10099 RIDGEGATE PKWY STE 200
LONE TREE, CO 80124
Douglas County (720) 875-2889
MISS HALEY NEWPORT DO
Internal Medicine
10099 RIDGEGATE PKWY STE 200
LONE TREE, CO 80124
Douglas County (720) 225-4464
TRACY TANG
Student in an Organized Health Care Education/Training Program
10099 RIDGEGATE PKWY STE 200
LONE TREE, CO 80124
Douglas County (720) 225-4466
DR. CORINNE RICCI DO
Student in an Organized Health Care Education/Training Program
10099 RIDGEGATE PKWY STE 200
LONE TREE, CO 80124
Douglas County (720) 225-4466

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 Kelly Davis's NPI number?

The NPI number for Kelly Davis is 1467154583. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Kelly Davis located?

Kelly Davis practices at 10099 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124. The listed phone number is (720) 225-4466.

What is Kelly Davis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelly Davis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Davis was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.