Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821713066 Individual Practitioner Female Practitioner

Kellie Ladonne Davis , NURSE

Licensed Practical Nurse • Gilbert, AZ

Professional Overview & Biography Verified Profile Summary

Kellie Davis, NURSE is a registered healthcare professional specializing in Licensed Practical Nurse in Gilbert, AZ. Practice services are available at 633 E RAY RD STE 130 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

633 E Ray Rd Ste 130

Gilbert, AZ 852964206

Telephone 4808123680
Associated Practice Facility / Clinic
🏢 Divine Home Health Care, Llc Facility NPI 1548689847

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Gilbert, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
35 Specialists

Practicing in Gilbert, AZ (1065 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-10
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License AZ LPN047414

An individual 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
LPN047414 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners
Kaodichukwu Nwankwo

Registered Nurse

NPI 1003611732
Hawantu Bundu , NURSE

Licensed Practical Nurse

NPI 1013632256
Alice Wendy

Licensed Practical Nurse

NPI 1023804390
Eric Fanya , NURSE

Licensed Practical Nurse

NPI 1033673314
Sondra King , NURSING

Registered Nurse

NPI 1083309942
Florence Darko , NURSING

Licensed Practical Nurse

NPI 1164117024

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2022

Registered at 633 E RAY RD STE 130, GILBERT, AZ 852964206 (Tel: 4808123680)

📍
Updated Business Mailing Address October 10, 2022

Registered at 633 E RAY RD STE 130, GILBERT, AZ 852964206 (Tel: 4808123680)

👤
Provider Name / Credentials Updated October 10, 2022

Recorded as KELLIE DAVIS, NURSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2022

Licensed Practical Nurse (License #LPN047414 in AZ)

🟢
Initial NPI Registration & Enumeration October 10, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821713066
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2022
Last Update: October 10, 2022
Sole Proprietor: No

Mailing Address

633 E Ray Rd Ste 130

Gilbert, AZ 852964206

Phone: 4808123680

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.