MICHELLE DAVENPORT


Address: 423 3rd Ave, Kingston, PA 18704-5809
Phone: 5703310880

MICHELLE DAVENPORT (NPI# 1407887334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407887334
Entity Type Individual
Full Name MICHELLE DAVENPORT
Credential CRNA
Practice Address 423 3rd Ave
Kingston
PA 18704-5809
Mailing Address Po Box 1587
Kingston
PA 18704-0587
Practice Telephone 5703310880
Practice Fax Number 5703310220
Mailing Telephone 5703310880
Mailing Fax Number 5703310220
Enumeration Date 2006-07-06
Last Update Date 2008-03-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 043647 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE ID 015192M49 01

Other Providers MICHELLE DAVENPORT

NPI Name Taxonomy Address Enumeration
1952753030 Michelle Davenport Marriage & Family Therapist 64 Makaena Pl, Makawao, HI 96768-8265 2016-07-12
1679711147 Michelle Davenport Registered Nurse 8721 Dorsey Rd, Richmond, VA 23237-2736 2009-01-21
1497813026 Michelle Lee Davenport Internal Medicine 306 Pine Hill Rd, Elizabethton, TN 37643-2920 2006-12-05
1023205127 Michelle Davenport Occupational Therapy Assistant 206 Maryland Ave, Mccomb, MS 39648-3926 2007-10-02

Office Location

Street Address 423 3RD AVE
City KINGSTON
State PA
Zip Code 18704-5809

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528068145 Jay B Tanner Optometrist 423 3rd Ave, Suite E, Kingston, PA 18704-5809 2005-07-26
1821458217 Denise Hoffman Physician Assistant 423 3rd Ave, Suite B, Kingston, PA 18704-5809 2016-02-29
1255676458 Northeast Eye Specialists, PC Durable Medical Equipment & Medical Supplies 423 3rd Ave, Suite E, Kingston, PA 18704-5809 2012-11-29
1871729111 Riverview Ambulatory Surgical Center, LLC Clinic/Center 423 3rd Ave, Suite D, Kingston, PA 18704-5809 2009-06-01
1497774996 Leonard F Romanowski Nurse Anesthetist, Certified Registered 423 3rd Ave, Kingston, PA 18704-5809 2006-07-18
1992722870 Ent Surgical Group,pc Otolaryngology 423 3rd Ave, Suite C, Kingston, PA 18704-5809 2006-07-16
1871528141 Suzanne Mulvey Nurse Anesthetist, Certified Registered 423 3rd Ave, Kingston, PA 18704-5809 2006-07-12
1821023102 Janet Morgan Nurse Anesthetist, Certified Registered 423 3rd Ave, Kingston, PA 18704-5809 2006-07-12
1881624856 Michael A Olenginski Otolaryngology 423 3rd Ave, Suite C, Kingston, PA 18704-5809 2006-07-04
1245260207 Eugene E Stec Otolaryngology 423 3rd Ave, Suite C, Kingston, PA 18704-5809 2006-07-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013557552 Millmark Health Inc. Psychiatry & Neurology 511 Pierce Street, Kingston, PA 18704 2020-01-13
1427550334 Michael Anthony Waltich Military Health Care Provider 82 Cooper Street, Pringle, PA 18704 2018-03-06
1376088435 Jae LLC Massage Therapist 512 Northhampton Street, Edwardsville, PA 18704 2016-12-28
1306278288 Mohammad Khaled Tashkandi Internal Medicine 490 Northampton St Ste 1, Edwardsville, PA 18704 2013-08-02
1396180014 Sammie Craven IIi Pharmacist 96 1st Avenue, Kingston, PA 18704 2013-05-08
1447693114 Catherine Mary Harding Nurse Practitioner 141 South Maple Ave, Kingston, PA 18704 2013-04-12
1861781403 Jennifer Ann Richards Pharmacist 22 West Side Mall, Edwardsville, PA 18704 2011-04-05
1558512772 Jolon Theresa Sherin Speech-Language Pathologist 1825 Sans Souci Highway, Hanover, PA 18704 2008-10-07
1932361102 Kari Ann Pietralczyk Audiologist 190 Welles Street, Forty-fort, PA 18704 2008-06-30
1467584151 John Christopher Storti Chiropractor 180 United Penn Plaza, Kingston, PA 18704 2007-03-09
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205206067 Akeem Jamal Scott Nurse Anesthetist, Certified Registered 78 Poplar St, Apt. 1, Kingston, PA 18704-3709 2015-10-05
1518213586 Jonathan Robert Kopka Nurse Anesthetist, Certified Registered 673 Wyoming Ave Apt C, Kingston, PA 18704-3862 2012-07-27
1124026653 Harold E Gardner Nurse Anesthetist, Certified Registered 396 Broadway, Kingston, NY 12401-4626 2005-07-08
1497127211 Danielle O'toole Nurse Anesthetist, Certified Registered 396 Broadway, Kingston, NY 12401-4626 2015-10-21
1295947638 Elana A Darovsky Nurse Anesthetist, Certified Registered 396 Broadway, Kingston, NY 12401-4626 2007-05-06
1639222441 Marjorie G Jones Nurse Anesthetist, Certified Registered 601 Wyoming Ave, Kingston, PA 18704-3701 2007-01-18
1497774996 Leonard F Romanowski Nurse Anesthetist, Certified Registered 423 3rd Ave, Kingston, PA 18704-5809 2006-07-18
1871528141 Suzanne Mulvey Nurse Anesthetist, Certified Registered 423 3rd Ave, Kingston, PA 18704-5809 2006-07-12
1821023102 Janet Morgan Nurse Anesthetist, Certified Registered 423 3rd Ave, Kingston, PA 18704-5809 2006-07-12
1780614321 Mary Ann Serian Nurse Anesthetist, Certified Registered 396 Broadway, Kingston Hospital, Kingston, NY 12401-4652 2006-07-03
Find all providers in KINGSTON

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City KINGSTON
Zip Code 18704

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Dataset Information

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.

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