MRS. KATIE L DAVENPORT (NPI# 1568898963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568898963 |
| Entity Type | Individual |
| Full Name | MRS. KATIE L DAVENPORT |
| Practice Address |
2700 S Roan St Suite 425 Johnson City TN 37601-7556 |
| Practice Telephone | 4232326281 |
| Practice Fax Number | 4232326282 |
| Mailing Telephone | 4232326281 |
| Mailing Fax Number | 4232326282 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2015-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457805707 | Katie Marie Davenport | Physical Therapist | 2705 Osler Blvd, Bryan, TX 77802-2518 | 2016-08-03 |
| Street Address |
2700 S ROAN ST SUITE 425 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-7556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477641488 | Holly Steel Davis | Counselor | 2700 S Roan St, Ste 205, Johnson City, TN 37601-7556 | 2006-10-11 |
| 1649706490 | Alexamdra D'shay Myers | Case Manager/Care Coordinator | 2700 S Roan St, Suite 425, Johnson City, TN 37601-7556 | 2017-05-11 |
| 1689119315 | Melissa Paige Wright | Social Worker | 2700 S Roan St, Suite 425, Johnson City, TN 37601-7556 | 2017-01-04 |
| 1578008942 | Aaliyah Russell | Case Manager/Care Coordinator | 2700 S Roan St, Johnson City, TN 37601-7556 | 2016-12-21 |
| 1871048686 | Lauren Jarrett | Social Worker | 2700 S Roan St, Unit 425, Johnson City, TN 37601-7556 | 2016-08-22 |
| 1275903593 | Daia G Stager | Counselor | 2700 S Roan St, Suite 425, Johnson City, TN 37601-7556 | 2015-09-29 |
| 1942699798 | Emily Beck, Ph.d., Pllc | Clinic/Center | 2700 S Roan St, Suite 205, Johnson City, TN 37601-7556 | 2015-01-16 |
| 1114316304 | Sheila Dawn Miller | Social Worker | 2700 S Roan St, Johnson City, TN 37601-7556 | 2015-01-12 |
| 1437586237 | 01 A Ll-states Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 2700 S Roan St, Ste 101, Johnson City, TN 37601-7556 | 2013-10-11 |
| 1649619230 | Rachel Elaine Roddy | Counselor | 2700 S Roan St, Johnson City, TN 37601-7556 | 2013-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295123941 | Jessica Farmer | Case Manager/Care Coordinator | 2700 S Roan St Ste 425, Johnson City, TN 37601-7587 | 2015-01-05 |
| 1730432592 | Samantha N Blevins | Case Manager/Care Coordinator | 802 Buffalo St, Suite 8, Johnson City, TN 37604-6900 | 2012-10-18 |
| 1518110733 | Darrell Craig Bush | Case Manager/Care Coordinator | 24 Cherry St # Po, Johnson City, NY 13790-2615 | 2008-10-31 |
| 1689743957 | Judy Anne Miles | Case Manager/Care Coordinator | 109 W Watauga Avenue, Johnson City, TN 37604 | 2006-11-08 |
| 1598835738 | Jennifer Lee Puett | Case Manager/Care Coordinator | 109 West Watauga Ave, Johnson City, TN 37605 | 2006-11-08 |
| 1972686640 | Craig Robert Wilson | Case Manager/Care Coordinator | 1003 N Boradway, Johnson City, TN 37601 | 2006-10-24 |
| 1285717504 | Misty Dawn Adams | Case Manager/Care Coordinator | 109 W Watauga, Johnson City, TN 37605 | 2006-10-23 |
| 1679079206 | Tyler Daniel Garland | Case Manager/Care Coordinator | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-04-03 |
| 1538665328 | Ashlie Katelyn Depew | Case Manager/Care Coordinator | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-04-02 |
| 1649706490 | Alexamdra D'shay Myers | Case Manager/Care Coordinator | 2700 S Roan St, Suite 425, Johnson City, TN 37601-7556 | 2017-05-11 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.