KENNETH LANCE DAVENPORT (NPI# 1912483132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912483132 |
Entity Type | Individual |
Full Name | KENNETH LANCE DAVENPORT |
Credential | APRN |
Practice Address |
401 11th St Ne Springhill LA 71075-4503 |
Practice Telephone | 3185391701 |
Practice Fax Number | 3185395688 |
Mailing Telephone | 3185391701 |
Mailing Fax Number | 3185395688 |
Enumeration Date | 2018-07-11 |
Last Update Date | 2018-07-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP10132 | LA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265443741 | Kenneth Allan Davenport | Orthopaedic Surgery | 1414 W Fair Ave, Suite 190, Marquette, MI 49855-2675 | 2006-08-10 |
Street Address |
401 11TH ST NE |
City | SPRINGHILL |
State | LA |
Zip Code | 71075-4503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063485811 | Leamon Garrett Torrence | Internal Medicine | 401 11th St Ne, Springhill, LA 71075-4503 | 2006-02-10 |
1952830150 | Aubrey Clay Strange | Nurse Practitioner | 401 11th St Ne, Springhill, LA 71075-4503 | 2017-06-09 |
1063831774 | Laura Margarita Hart | Family Medicine | 401 11th St Ne, Springhill, LA 71075 | 2014-04-09 |
1982861621 | Tommie Ann Cassidy | Nurse Practitioner | 401 11th St Ne, Springhill, LA 71075 | 2008-05-20 |
1295937001 | Michelle Pardue | Family Medicine | 401 11th St Ne, Springhill, LA 71075 | 2007-06-04 |
1871507616 | Springhill Medical Services, Inc. | Clinic/Center | 401 11th St Ne, Springhill, LA 71075-4503 | 2006-07-28 |
1982660627 | Wilma Lynette Maynor | Nurse Practitioner | 401 11th St Ne, Springhill, LA 71075-4503 | 2006-04-21 |
1316911860 | Marla M. Smith | Physician Assistant | 401 11th St Ne, Springhill, LA 71075-4503 | 2006-02-13 |
1891769410 | Samuel S Holladay | Family Medicine | 401 11th St Ne, Springhill, LA 71075-4503 | 2006-02-13 |
1174596910 | Jerry Wayne Sessions | Family Medicine | 401 11th St Ne, Springhill, LA 71075-4503 | 2006-02-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952951287 | Matthew Ham | Physician Assistant | 1918 S. Arkansas Street, Springhill, LA 71075 | 2019-09-18 |
1093376873 | Hulin Urgent Care Services, LLC | Clinic/Center | 1918 S Arkansas St, Springhill, LA 71075 | 2019-06-24 |
1073046785 | Rayla Fish May | Counselor | 12 Ensey St, Springhill, LA 71075 | 2017-04-10 |
1528230927 | Minden Homecare Equipment & Uniforms, LLC | Durable Medical Equipment & Medical Supplies | 410 N. Arkansas Hwy, Springhill, LA 71075 | 2008-03-26 |
1801962543 | Matthew Wilson Lane | Dentist | 500 Arkansas Street, Springhill, LA 71075 | 2006-11-27 |
1902838949 | Springhill Family Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1190 S Arkansas Street, Springhill, LA 71075 | 2006-07-07 |
1275600207 | Michael D Myers | Chiropractor | 230 N Main St, Springhill, LA 71075 | 2006-11-28 |
1104920529 | David Verne Hodgkiss | Dentist | 1104 Doctors Dr, Springhill, LA 71075 | 2006-09-08 |
1235284126 | Evergreen Presbyterian Ministries, Inc. | Intermediate Care Facility, Mentally Retarded | 803 10th St Nw, Springhill, LA 71075-2105 | 2007-01-24 |
1790116069 | Amy Stewart | Physical Therapy Assistant | 304 6th St Nw, Springhill, LA 71075-2502 | 2013-12-11 |
Find all providers in zip 71075 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952830150 | Aubrey Clay Strange | Nurse Practitioner | 401 11th St Ne, Springhill, LA 71075-4503 | 2017-06-09 |
1982861621 | Tommie Ann Cassidy | Nurse Practitioner | 401 11th St Ne, Springhill, LA 71075 | 2008-05-20 |
1982660627 | Wilma Lynette Maynor | Nurse Practitioner | 401 11th St Ne, Springhill, LA 71075-4503 | 2006-04-21 |
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1902407190 | Amy Schulin Long | Nurse Practitioner | 2800 Veterans Memorial Blvd Ste 102, Metairie, LA 70002-6172 | 2020-11-04 |
1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
1568061950 | Kecia Clark | Nurse Practitioner | 3009 Englewood Dr, Jennings, LA 70546-3266 | 2020-10-19 |
1225636012 | Jennifer Castro Ledet | Nurse Practitioner | 689 English Oak Dr, Madisonville, LA 70447-3179 | 2020-10-14 |
1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
1447857636 | Ashley Norsworthy | Nurse Practitioner | 2600 Tower Dr Ste 216, Monroe, LA 71201-5783 | 2020-10-01 |
1629684923 | On -demand Healthcare of Louisiana LLC | Nurse Practitioner | 12109 Hampton Village Ave, Baton Rouge, LA 70818-5741 | 2020-09-22 |
1528674280 | Acadiana Wound & Ostomy On Wheels | Nurse Practitioner | 218 Division Street, Krotz Springs, LA 70750 | 2020-09-18 |
1841806775 | Shelia M Reliford | Nurse Practitioner | 3928 Balcom St, Shreveport, LA 71109-5004 | 2020-09-16 |
Find all providers with the same taxonomy |
City | SPRINGHILL |
Zip Code | 71075 |
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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.