ERIC DAVENPORT (NPI# 1508264482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508264482 |
Entity Type | Individual |
Full Name | ERIC DAVENPORT |
Credential | LMSW |
Practice Address |
2267 Teton Plz Idaho Falls ID 83404-6486 |
Practice Telephone | 2085244953 |
Practice Fax Number | 2085247335 |
Mailing Telephone | 2085244953 |
Mailing Fax Number | 2085247335 |
Enumeration Date | 2014-12-09 |
Last Update Date | 2014-12-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
LMSW-34320 | ID | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 1346368198 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396796785 | Eric Michael Davenport | Chiropractor | 80150 Us Highway 111, Suite C5, Indio, CA 92201-8359 | 2006-05-12 |
1386004950 | Eric A Davenport | Dietitian, Registered | 411 E Chestnut St, Louisville, KY 40202-1713 | 2016-02-25 |
1801861638 | Eric Ross Davenport | Technician, Other | 1519 Alaskan Way S, Seattle, WA 98134-1102 | 2006-02-23 |
Street Address |
2267 TETON PLZ |
City | IDAHO FALLS |
State | ID |
Zip Code | 83404-6486 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811913676 | Pettingill Counseling Services | Counselor | 2267 Teton Plz, Idaho Falls, ID 83404-6486 | 2006-07-14 |
1205375490 | Katie Michelle Mcfarland | Counselor | 2267 Teton Plz, Idaho Falls, ID 83404-6486 | 2017-02-21 |
1659816528 | Human Dynamics and Development | Community/Behavioral Health | 2267 Teton Plz, Idaho Falls, ID 83404-6486 | 2016-12-30 |
1760924799 | Shannon Kay Johnson | Social Worker | 2267 Teton Plz, Idaho Falls, ID 83404-6486 | 2016-11-08 |
1952852436 | Betsy Pack Petersen | Counselor | 2267 Teton Plz, Idaho Falls, ID 83404-6486 | 2016-10-19 |
1528450137 | Wendy Loyd | Counselor | 2267 Teton Plz, Idaho Falls, ID 83404-6486 | 2015-02-19 |
1184022493 | Sarah Hernandez | Clinic/Center | 2267 Teton Plz, Idaho Falls, ID 83404-6486 | 2014-12-18 |
1043652530 | Tawnya E Nichols | Behavioral Analyst | 2267 Teton Plz, Idaho Falls, ID 83404-6486 | 2013-07-24 |
1144591934 | Emily Ricks Smith | Social Worker | 2267 Teton Plz, Idaho Falls, ID 83404-6486 | 2012-01-25 |
1366730012 | Jerilyn Pence | Counselor | 2267 Teton Plz, Idaho Falls, ID 83404-6486 | 2011-07-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
Find all providers in zip 83404 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609410489 | Angelika H Gutenberger | Counselor | 211 S Woodruff Ave Ste A3, Idaho Falls, ID 83401-4865 | 2019-11-04 |
1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
1124590302 | A Penney for Your Thoughts, LLC | Counselor | 1820 E 17th St Ste 190, Idaho Falls, ID 83404-6518 | 2018-12-27 |
1346790128 | Molli Gilchrist | Counselor | 760 K St Apt B, Idaho Falls, ID 83402-2770 | 2016-10-05 |
1508256850 | Itzel Montero | Counselor | 3442 S. 15th E., Idaho Falls, ID 83404 | 2015-01-26 |
1457610149 | Kimberly W. Johnson | Counselor | 1934 N 26th W, Idaho Falls, ID 83402-5319 | 2012-05-15 |
1477823490 | Annette Marie Cowley | Counselor | 1273 E 17th St, Idaho Falls, ID 83404-6126 | 2012-01-06 |
1619102183 | Quinn Blake Thibodeau | Counselor | 1891 Grandview Ct, Idaho Falls, ID 83402-2510 | 2009-05-27 |
1679711998 | New Journeys Inc | Counselor | 1047 Oxbow Ln, Idaho Falls, ID 83404-8351 | 2009-01-23 |
1093964041 | Nathan James Fullmer | Counselor | 4707 1st St, Idaho Falls, ID 83401-5771 | 2008-09-15 |
Find all providers in IDAHO FALLS |
City | IDAHO FALLS |
Zip Code | 83404 |
Please comment or provide details below to improve the information on ERIC DAVENPORT.
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.