CHARLISA DAVENPORT NPI 1740648344

NPI Information

NPI: 1740648344
Provider Name: CHARLISA DAVENPORT
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
3095 WILSON CT
DENVER, CO
ZIP 80205
Phone: (303) 803-5726
Get Directions

Charlisa Davenport is a psychiatric/mental health nurse practitioner in Denver, CO with 6 years of experience. Charlisa Davenport NPI is 1740648344. 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:

3095 WILSON CT
DENVER, CO
ZIP 80205-945
Phone: (303) 803-5726

The NPI 1740648344 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 2/10/2016 and was last updated on 4/26/2024.

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	163W00000X	Registered Nurse		147386	LOUISIANA	No
2	163W00000X	Registered Nurse		1636968	COLORADO	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	208625	LOUISIANA	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	C-APN.0003579-C-NP	COLORADO	Yes

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: 5/5/2024

NPI Synchronization or Removal

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