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

Rebecca Ervin Davis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063806099

Rebecca Ervin Davis is a Family Practice in Louisville, Kentucky. Qualified in 2015, 11 years ago. Practices with Intermountain Medical Group Denver LLC, a 567-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
11
Licensed in
KY
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

201 Abraham Flexner Way Ste 690
Louisville, KY 40202-3841
Phone: (502) 852-0132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R3749 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063806099
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2015
Last updated in NPPESFebruary 13, 2017

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Intermountain Medical Group Denver Llc — 567 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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