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LAURA BETH DAVENPORT FNP-C NPI 1679944946


NPI Information

NPI: 1679944946
Provider Name: LAURA BETH DAVENPORT, FNP-C
Classification: Nurse Practitioner - 363L00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
520 DOUGLAS BLVD
TYLER, TX
ZIP 75702
Phone: (903) 593-1721
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Laura Beth Davenport, FNP-C is a nurse practitioner in Tyler, TX with 9 years of experience. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Laura Beth Davenport, FNP-C NPI is 1679944946. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

520 DOUGLAS BLVD
TYLER, TX
ZIP 75702-307
Phone: (903) 593-1721

The NPI 1679944946 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2015 and was last updated on 11/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerAP129297TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1352819203MEDICAIDTEXAS
2352819204MEDICAIDTEXAS
375-0818167-022OTHERTEXASTRICARE
475-0818167-044OTHERTEXASTRICARE
5P01707526OTHERTEXASRAIL ROAD MEDICARE
675-2616977-002OTHERTEXASTRICARE
78946NYOTHERTEXASBCBS
8P01707529OTHERTEXASRAIL ROAD MEDICARE
98343NSOTHERTEXASBCBS
1075-0818167-048OTHERTEXASTRICARE
118478NYOTHERTEXASBCBS
1275-2616977-118OTHERTEXASTRICARE
13P01569953OTHERTEXASRAIL ROAD MEDICARE
1475-0818167-015OTHERTEXASTRICARE
1575-2616977-001OTHERTEXASTRICARE
1675-2616977-028OTHERTEXASTR
1775-2616977-129OTHERTEXASTRICARE
18352819202MEDICAIDTEXAS
1975-1976930-005OTHERTEXASTRICARE
20850NYOTHERTEXASBCBS
21352819201MEDICAIDTEXAS
2275-2616977-007OTHERTEXASTRICARE
2375-2616977-023OTHERTEXASTRIUCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.