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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAYLEEN DAVIDSON M.D.
NPI 1750720751
Student in an Organized Health Care Education/Training Program in Mount Vernon, WA

Active since June 24, 2013PECOS Enrolled
1415 E KINCAID ST, MOUNT VERNON, WA 98274(360) 814-2115 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2026, Jul 19, 2023, May 12, 2023 and 2 more (5 updates tracked since 2018).

About Kayleen Davidson M.d. NPPES

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

KAYLEEN DAVIDSON M.D. (NPI 1750720751) is an individual student in an organized health care education/training program in Mount Vernon, Washington, licensed in Washington (ML61436515) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oak Harbor.

NPPES Registry Identity

NPI1750720751
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAYLEEN DAVIDSONCredential: M.D.
Location Address1415 E KINCAID STMount Vernon, WA 98274-4126
Mailing Address1415 E Kincaid StMount Vernon, WA 98274-4126 · (360) 814-2115
Phone(360) 814-2115
Sole ProprietorNo
Enumeration DateJune 24, 2013
Last NPPES UpdateJuly 8, 20265 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1750720751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in WA · ML61436515
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.
Also ListedHospitalistTaxonomy 208M00000X · License MD.MD.61573331 (WA)
1415 E KINCAID ST, Mount Vernon, WA 98274
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Secondary Practice Location 1

Location 13475 N Saratoga StOak Harbor, WA 98278 · Phone (360) 257-9400

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kayleen Davidson M.d. 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.

AMREEN KAUR
Internal Medicine
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2592
CASCADE IMAGING ASSOCIATES L.L.C.
Clinic/Center (Magnetic Resonance Imaging (MRI))
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 424-4111
DR. DANA STURTZ DPT, GCS
Physical Therapist
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-2184
DR. ALLAN MICHAEL DAMIAN M.D.
Psychiatry & Neurology (Sleep Medicine)
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2550
DR. PRAVEENA THAMMIREDDY MBBS
Student in an Organized Health Care Education/Training Program
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2592
GLEN MARK SUMAGIT
Student in an Organized Health Care Education/Training Program
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-2115
PACIFIC NORTHWEST PATHOLOGY ASSOCIATES, LLC
Pathology (Anatomic Pathology & Clinical Pathology)
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (877) 425-8646
PUBLIC HOSPITAL DIST NO 1 SKAGIT
General Acute Care Hospital
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 424-4111

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 Kayleen Davidson's NPI number?

The NPI number for Kayleen Davidson is 1750720751. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Where is Kayleen Davidson located?

Kayleen Davidson practices at 1415 E Kincaid St, Mount Vernon, WA 98274. The listed phone number is (360) 814-2115.

What is Kayleen Davidson's specialty?

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

Is Kayleen Davidson enrolled in Medicare?

Yes. Kayleen Davidson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kayleen Davidson was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.