Kenisha Davis, APRN
NPI 1033604954ActiveIndividual· Nurse Practitioner, Family· South Holland, IL
Nurse Practitioner, Family (APRN) in South Holland, Illinois, licensed in IL, IN and AZ, with an NPI issued in June 2018.
Overview
| NPI | 1033604954 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | Yes |
| NPI issued | Jun 23, 2018 |
| Last updated in NPPES | Jan 31, 2023 |
| Certified by provider | Jan 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 209.017812 | IL |
| Nurse Practitioner, Family | 363LF0000X | 277001991 | IL |
| Nurse Practitioner, Family | 363LF0000X | 71008626A | IN |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 71008626A | IN |
| Nurse Practitioner, Family | 363LF0000X | 251171 | AZ |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 277001991 | IL |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 251171 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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