Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keona Chantel Davis

Individual provider Family Nurse Practitioner · NPI 1881290005

Keona Chantel Davis is a Nurse Practitioner in Hammond, Indiana. Qualified in 2020, 6 years ago. Practices with Midwest Express Care 4 LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
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Practice location Address checks out

31 Sibley St Ste A31E
Hammond, IN 46320-1725
Phone: (219) 802-8800
Fax: (219) 802-8801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71010690A (IN)

Record details

NPI number1881290005
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 11, 2020
Last updated in NPPESApril 21, 2021
Certification dateApril 21, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Midwest Express Care 4 Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Hammond