WESLEY ADAM DAVENPORT (NPI# 1225682511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225682511 |
Entity Type | Individual |
Full Name | WESLEY ADAM DAVENPORT |
Credential | NP |
Practice Address |
472 Rankin Dr Marion NC 28752-6568 |
Mailing Address |
260 Miller Ave Marion NC 28752-5697 |
Practice Telephone | 8286521400 |
Practice Fax Number | 8286597829 |
Mailing Telephone | 8286526866 |
Enumeration Date | 2019-07-25 |
Last Update Date | 2019-07-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
210673 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
472 RANKIN DR |
City | MARION |
State | NC |
Zip Code | 28752-6568 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770586083 | James Richard Lowe | Surgery | 472 Rankin Dr, 2nd Floor, Marion, NC 28752-6568 | 2005-05-31 |
1881244515 | Christina Joyce Mackenzie Kuetemeyer | Nurse Practitioner | 472 Rankin Dr, Marion, NC 28752-6568 | 2019-09-15 |
1497226468 | Amy Lynn Mackey | Registered Nurse | 472 Rankin Dr, Marion, NC 28752-6568 | 2018-12-16 |
1609342815 | Mh Mission Hospital Mcdowell, Lllp | Nurse Practitioner | 472 Rankin Dr, Marion, NC 28752-6568 | 2018-10-16 |
1922526052 | Grace Carolyn Rice | Advanced Practice Midwife | 472 Rankin Dr, Marion, NC 28752-6568 | 2017-09-08 |
1174063382 | Casey Ross Ward | Physician Assistant | 472 Rankin Dr, Marion, NC 28752-6568 | 2017-03-07 |
1942628425 | Ashley Tempestt Badger | Surgery | 472 Rankin Dr, Marion, NC 28752-6568 | 2014-04-02 |
1437574084 | Jason Alexander Willis | Physician Assistant | 472 Rankin Dr, Marion, NC 28752-6568 | 2014-02-19 |
1437580800 | Victoria Hyland Barden | Physician Assistant | 472 Rankin Dr, Marion, NC 28752-6568 | 2013-12-10 |
1982960043 | Jennifer Scott Best | Physician Assistant | 472 Rankin Dr, Marion, NC 28752-6568 | 2012-04-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932758810 | Teresa Gay Schism | Technician | 1756 Toms Creek Road, Marion, NC 28752 | 2019-09-04 |
1932646205 | Courtney Abrams | Physician Assistant | 472 Rankin Dr., Marion, NC 28752 | 2017-01-25 |
1780127548 | Invitation Therapy | Clinic/Center | 364 Us 70 W Ste 3, Marion, NC 28752 | 2016-11-28 |
1508311580 | Young Men Christian Association of Western North Carolina | Health Educator | 348 Grace Corpening Drive, Marion, NC 28752 | 2016-08-19 |
1417384322 | Cancer Care of Wnc, Pa | Internal Medicine | 430 Rankin Drive, Marion, NC 28752 | 2013-10-09 |
1578990875 | Brian Michael Ware | Family Medicine | 5623 Hwy Us 221 South, Marion, NC 28752 | 2013-10-01 |
1689996332 | Southmountain Children and Family Services | Specialist | 81 W Fort St, Marion, NC 28752 | 2010-02-23 |
1134367345 | Duramed Equipment LLC | Durable Medical Equipment & Medical Supplies | 2024 Nix Creek Rd, Ste B, Marion, NC 28752 | 2009-01-26 |
1326294695 | Mcdowell Hospital | Obstetrics & Gynecology | 1633 Sugar Hill Road, Suite 1, Marion, NC 28752 | 2008-08-18 |
1114173382 | Adrienne Stearns Goodfred | Physical Therapist | 44 Pine Top Drive, Marion, NC 28752 | 2008-08-07 |
Find all providers in zip 28752 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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1992343248 | Maryanne M Smith | Nurse Practitioner | 805 W Deyoung St Ste D, Marion, IL 62959-1602 | 2019-12-17 |
1346359437 | Lisa A Decker | Nurse Practitioner | 1136 N Baldwin Ave, Marion, IN 46952-4715 | 2006-08-30 |
1023521895 | Nina Elaine Orr | Nurse Practitioner | 1700 E 38th St, Marion, IN 46953-4568 | 2017-11-14 |
1689109415 | Carlos M Blanchard | Nurse Practitioner | 441 N Wabash Ave, Marion, IN 46952-2612 | 2017-04-30 |
1528498458 | Kalee Dunkle | Nurse Practitioner | 1700 E 38th St, Marion, IN 46953-4568 | 2013-11-13 |
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1295334647 | Kennitrish Nickola Bracey | Nurse Practitioner | 5124 Red Poll Dr, Greensboro, NC 27405-9794 | 2020-10-17 |
1255947974 | Alice Lorraine Fagan | Nurse Practitioner | 2130 Highland View Ln, Charlotte, NC 28214-9425 | 2020-09-17 |
1689286270 | Meylien Delgado Lee | Nurse Practitioner | 510 S Spruce St, Wilkesboro, NC 28697-2846 | 2020-08-17 |
1124638317 | Jakita Strong | Nurse Practitioner | 1506 Ladora Dr, Charlotte, NC 28262-6414 | 2020-08-03 |
1689284820 | Corrie Hansen | Nurse Practitioner | 1700 Tarboro St W Ste 100, Wilson, NC 27893-3481 | 2020-08-03 |
1609490382 | Brooke Martin Shaw | Nurse Practitioner | 5514, 350 N Cox St, Ste 6, Asheboro, NC 27203 | 2020-05-29 |
1467075440 | Lydia A. Teague | Nurse Practitioner | 120 N Medical Drive Unc-ch Son: Carrington Hall Chapel, Chapel Hill, NC 27599-0001 | 2020-05-25 |
1689209710 | Ana Rita Frey | Nurse Practitioner | 601 E 5th St Ste 140, Charlotte, NC 28202-3092 | 2020-03-09 |
1578109427 | Mia Licole Saulter | Nurse Practitioner | 3961 Stafford Run Ct, High Point, NC 27265-9480 | 2019-11-25 |
1801430715 | Erica Nicole Ebohon | Nurse Practitioner | 3803 Arundel Ct, Greensboro, NC 27406-9832 | 2019-11-04 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.