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Kennaya Yauquan Davis , LPN

Licensed Practical Nurse β€’ Canton, MI

Active NPI 1023734647 Individual Practitioner Female Practitioner
Practice location in NPPES

43825 Michigan Ave
Canton, MI 481882551

Call 7343973088 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

43825 Michigan Ave

Canton, MI 481882551

Telephone 7343973088
Organization at the Same NPPES Address or Phone
Hegira Health, Inc. Facility NPI 1699816553

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Canton and Michigan

92 active clinicians are listed under Licensed Practical Nurse with a practice address in Canton, MI (4,455 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Canton

0% of these 92 clinicians have the CMS telehealth indicator.

0% of these 92 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-04
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES MI 4703127058

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Jonathan Koziel , NP

Family Medicine

NPI 1023595816

Nurse Practitioner

Joseph Payton , LPN

Licensed Practical Nurse

NPI 1689083156

Licensed Practical Nurse

NPI 1538339551

Master of Social Work, Licensed Master Social Worker, CAADC

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location December 04, 2025

Registered at 43825 MICHIGAN AVE, CANTON, MI 481882551 (Tel: 7343973088)

πŸ“
Updated Business Mailing Address December 04, 2025

Registered at 37450 SCHOOLCRAFT RD, LIVONIA, MI 481501082 (Tel: 7344584601)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2025

Licensed Practical Nurse (license number reported to NPPES: MI 4703127058)

βœ…
NPI Profile Active October 14, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 14, 2022

Registered at 1430 S HIGH ST, COLUMBUS, OH 432071045 (Tel: 6144458131)

πŸ“
Business Mailing Address (Initial Record) October 14, 2022

Registered at 1719 ALUM CREEK DR, COLUMBUS, OH 432071708 (Tel: 6144458131)

πŸ‘€
Provider Name / Credentials (Initial Record) October 14, 2022

Recorded as KENNAYA DAVIS, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2022

Licensed Practical Nurse (license number reported to NPPES: OH 181102)

🟒
Initial NPI Registration & Enumeration October 14, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023734647
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2022
Last Update: December 04, 2025
Sole Proprietor: Yes

Mailing Address

37450 Schoolcraft Rd

Livonia, MI 481501082

Phone: 7344584601

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.