DEANNA KATHLINE DAVENPORT APRN NPI 1730131343

NPI Information

NPI: 1730131343
Provider Name: DEANNA KATHLINE DAVENPORT, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1020 HITT ST
COLUMBIA, MO
ZIP 65212
Phone: (573) 882-8788
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Deanna Kathline Davenport, APRN is an adult health nurse practitioner in Columbia, MO with 24 years of experience. Deanna Kathline Davenport, APRN NPI is 1730131343. 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:

1020 HITT ST
COLUMBIA, MO
ZIP 65212-001
Phone: (573) 882-8788
Fax: (573) 882-3131

The NPI 1730131343 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 5/16/2006 and was last updated on 5/9/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		143086	MISSOURI	No
2	363LA2200X	Nurse Practitioner	Adult Health	143086	MISSOURI	Yes
3	363LF0000X	Nurse Practitioner	Family	143086	MISSOURI	No

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

NPI Synchronization or Removal

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