KATINA DAVIS-KENNEDY (DNP, FNP-C, PMHNP) – Family Nurse Practitioner, NPI 1891953451

KATINA DAVIS-KENNEDY (DNP, FNP-C, PMHNP) is a healthcare provider. based in Coral springs, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, FNP-C, PMHNP. They hold a License No. APRN9204487 (FL). The NPI Number for KATINA DAVIS-KENNEDY (DNP, FNP-C, PMHNP) is 1891953451

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
KATINA DAVIS-KENNEDY (DNP, FNP-C, PMHNP)
NPI
1891953451
Phone
(954) 231-8700
Address
2901 CORAL HILLS DR STE 330
Enumeration Date
29 May 2008
Last Update Date
1 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9542318700
Graduation Year
2007 (19 years ago)
PAC ID
9436496361
Group Practice PAC ID
1456762301
Professional Enrollment ID
I20190130000871
Address ID
FL330654165CO2901XDRXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for KATINA DAVIS-KENNEDY (DNP, FNP-C, PMHNP)

  • 2901 CORAL HILLS DR STE 330

    CORAL SPRINGS, FL 330654165

    Phone: (954) 231-8700

    Fax: (954) 231-8707

    Type: Mailing

  • Wiles Road, Coral Springs, Broward County, Florida, 33076, United States

    CORAL SPRINGS, FL 330672040

    Phone: (954) 345-1117

    Fax: (954) 345-9105

    Type: Location

  • 1204, Santa Catalina Lane, North Lauderdale, Broward County, Florida, 33068, United States

    NORTH LAUDERDALE, FL 330686311

    Phone: (866) 900-7398

    Fax: (201) 877-5469

    Type: Mailing

  • 6191 W ATLANTIC BLVD STE 3

    MARGATE, FL 330635165

    Phone: (954) 231-8700

    Fax: (954) 231-8707

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $1,207.

Total Amount is formed as General ($1,207) + Research ($0) + Ownership ($0) = $1,207.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novo Nordisk Inc ($511).

Total Amount

$1,207

General + Research + Ownership

Payments

48

Total payment records

General Amount

$1,207

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-01-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190130000871INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33065)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456762301View full group profile
NameSpecialtyState
Nurse PractitionerFL

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Frequently asked questions

What unique ID ties claims to KATINA DAVIS-KENNEDY (DNP, FNP-C, PMHNP)?
NPI 1891953451 is assigned to KATINA DAVIS-KENNEDY (DNP, FNP-C, PMHNP) under the national enumeration system.
Is KATINA DAVIS-KENNEDY (DNP, FNP-C, PMHNP)'s NPI currently valid?
The extract we use shows KATINA DAVIS-KENNEDY (DNP, FNP-C, PMHNP) as active.
What kind of provider is KATINA DAVIS-KENNEDY (DNP, FNP-C, PMHNP)?
The page reflects Family Nurse Practitioner for KATINA DAVIS-KENNEDY (DNP, FNP-C, PMHNP). Clinical services aligned with this taxonomy classification.
Where is KATINA DAVIS-KENNEDY (DNP, FNP-C, PMHNP)'s primary listing?
We display Coral Springs, Florida because that is what the record indicates for KATINA DAVIS-KENNEDY (DNP, FNP-C, PMHNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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