MRS. MARY RAE DAVENPORT (NPI# 1114068582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114068582 |
| Entity Type | Individual |
| Full Name | MRS. MARY RAE DAVENPORT |
| Credential | ANP |
| Practice Address |
2748 Crossroads Blvd Grand Junction CO 81506-3933 |
| Practice Telephone | 9702550900 |
| Practice Fax Number | 9702550901 |
| Mailing Telephone | 9702550900 |
| Mailing Fax Number | 9702550901 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
75918 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962855692 | Mary Davenport | Licensed Practical Nurse | 37520 Harper Ave Apt 107, Clinton Twp, MI 48036-3077 | 2016-07-18 |
| 1639543804 | Mary Melinda Davenport | Physical Therapist | 4424 Rogers Rd, Monroe, NC 28110-7354 | 2015-11-25 |
| 1962617712 | Mary G Davenport | Marriage & Family Therapist | 1608 Oak St, Sarasota, FL 34236-7517 | 2007-05-14 |
| 1588765721 | Mary L Davenport | Obstetrics & Gynecology | 4440 San Pablo Dam Rd, El Sobrante, CA 94803-3052 | 2006-09-26 |
| 1598268963 | Mary J Davenport | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-03-13 |
| 1831460351 | Mary Davenport | Case Manager/Care Coordinator | 9 N Water St Ste 104, Sapulpa, OK 74066-2820 | 2012-01-13 |
| 1861791626 | Mary Angela Davenport | Marriage & Family Therapist | 105 Music Village Blvd, Hendersonville, TN 37075-2714 | 2011-03-19 |
| 1265559009 | Mary Gwen Davenport Ix | Technician, Other | Comdt Cg-1122 Us Coast Guard, 2100 2nd St Sw, Suite 5314, Washington, DC 20593-0001 | 2007-03-26 |
| 1831261551 | Mary Wofford Davenport | Registered Nurse | 3155 Royal Drive, Suite 125, Alpharetta, GA 30022 | 2006-11-15 |
| 1922048586 | Mary Davenport | Nurse Practitioner | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2006-06-08 |
| Street Address |
2748 CROSSROADS BLVD |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81506-3933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938543 | Raedene Schmidt | Internal Medicine | 2748 Crossroads Blvd, Grand Junction, CO 81506-3933 | 2005-08-09 |
| 1811531742 | Erika S Caton | Dietitian, Registered | 2748 Crossroads Blvd, Grand Junction, CO 81506-3933 | 2019-11-04 |
| 1912246125 | Marcella Martha Mclaughlin | Dietitian, Registered | 2748 Crossroads Blvd, Grand Junction, CO 81506-3933 | 2013-02-07 |
| 1154633220 | Grand Mesa Nephrology Pllc | Internal Medicine | 2748 Crossroads Blvd, Grand Junction, CO 81506-3933 | 2010-07-06 |
| 1699905422 | Integrated Nephrology Associates, PC | Internal Medicine | 2748 Crossroads Blvd, Grand Junction, CO 81506-3933 | 2009-07-14 |
| 1154465888 | Joseph S. Harawi | Internal Medicine | 2748 Crossroads Blvd, Grand Junction, CO 81506-3933 | 2007-02-16 |
| 1053344531 | Dialysis Clinic Inc. | Clinic/Center | 2748 Crossroads Blvd, Grand Junction, CO 81506-3933 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759820 | Dana Patton | Student in an Organized Health Care Education/Training Program | St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 | 2020-04-23 |
| 1720646292 | Creed Ott | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1568948776 | Lakeside Psychological Services, LLC | Clinic/Center | 3154 Lakeside Dr Apt 103, Grand Junction, CO 81506 | 2018-07-11 |
| 1700389095 | Catherine Martha Plough | Registered Nurse | 2754 Compass Drive, Suite 377, Grand Junction, CO 81506 | 2018-03-13 |
| 1114445657 | Katrina Nicol Metcalf | Nurse Practitioner | 2643 Patterson Road Suite 605, Grand Junction, CO 81506 | 2017-09-05 |
| 1346760642 | Christopher Lewis Hoef II | Licensed Practical Nurse | 3031 N 14th St, Grand Junction, CO 81506 | 2017-06-27 |
| 1477928976 | Welbrook Senior Living Grand Junction LLC | Skilled Nursing Facility | 2596 Patterson Rd., Grand Junction, CO 81506 | 2015-12-09 |
| 1073902284 | Brett Adams | Audiologist-Hearing Aid Fitter | 2643 Patterson Rd Ste 503, Grand Junction, CO 81506 | 2015-01-12 |
| 1942625116 | Pamela W Kreps | Hearing Instrument Specialist | 759 Horizon Dr Ste E, Grand Junction, CO 81506 | 2014-02-25 |
| 1962779249 | Premere Rehab LLC | Occupational Therapist | 625 271/2 Road, Grand Junction, CO 81506 | 2011-11-30 |
| Find all providers in zip 81506 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417303066 | Peter Psenda | Nurse Practitioner | 2121 North Ave, Grand Junction, CO 81501-6428 | 2016-05-12 |
| 1174997290 | Connie Ela Lupe Joy Billones Bongar | Nurse Practitioner | 2686 Patterson Rd, Smmg Phys Med & Rehab, Grand Junction, CO 81506-8817 | 2015-12-01 |
| 1366718017 | Sharon Conrad Golden | Nurse Practitioner | 2635 N 7th St, Grand Junction, CO 81501-8209 | 2012-03-27 |
| 1477731438 | Traci Qualls | Nurse Practitioner | 2373 G Rd, Suite 200, Grand Junction, CO 81505-9641 | 2008-02-01 |
| 1932393782 | Mishcha M Mccabe | Nurse Practitioner | 2121 North Ave, Grand Junction, CO 81501-6428 | 2007-09-04 |
| 1720055890 | Deborah L Twardowski | Nurse Practitioner | 743 Horizon Ct, Suite 100, Grand Junction, CO 81506-8701 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770190415 | Brittany Delmonico | Nurse Practitioner | 5224 Coralberry Ct, Fort Collins, CO 80525-5506 | 2020-09-27 |
| 1649884461 | Jenna Dalton Kuhl | Nurse Practitioner | 5 S Pearl St, Denver, CO 80209-2013 | 2020-08-31 |
| 1235747809 | Megan Gottsch | Nurse Practitioner | 1838 E 33rd Ave, Denver, CO 80205-4057 | 2020-07-20 |
| 1497363196 | Grace A Worland | Nurse Practitioner | 1065 Jade St, Broomfield, CO 80020-1862 | 2020-07-19 |
| 1477171247 | Emily Hull-lierheimer | Nurse Practitioner | 4755 Timber Wolf Trl, Colorado Springs, CO 80920-7671 | 2020-07-08 |
| 1710524137 | Julie Esther Ayaad | Nurse Practitioner | 1427 W Rio Grande, Colorado Springs, CO 80905 | 2019-12-04 |
| 1053953521 | Jason Rogers | Nurse Practitioner | 11988 Black Hawk Dr, Conifer, CO 80433-7140 | 2019-10-16 |
| 1598306623 | Minnie Nguyen Chau | Nurse Practitioner | 12605 E 16th Ave Fl 1, Aurora, CO 80045-2545 | 2019-09-30 |
| 1841841681 | Larry Vo | Nurse Practitioner | 12631 E 17th Ave Bldg Ao1, Aurora, CO 80045-2527 | 2019-09-23 |
| 1679121016 | Gwendolyn Eshie Elango | Nurse Practitioner | 21427 E Ottawa Cir, Aurora, CO 80016-2658 | 2019-08-29 |
| Find all providers with the same taxonomy | ||||
| City | GRAND JUNCTION |
| Zip Code | 81506 |
Please comment or provide details below to improve the information on MRS. MARY RAE DAVENPORT.
| 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.