KATHERINE ALEXIS DAVENPORT (NPI# 1164048260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164048260 |
| Entity Type | Individual |
| Full Name | KATHERINE ALEXIS DAVENPORT |
| Credential | MS, RD, LD |
| Practice Address |
126 Wiley Rd Apt B2 Greene ME 04236-3477 |
| Practice Telephone | 2079443139 |
| Mailing Telephone | 2079443139 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI1539 | ME | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 357 Clark Hill Rd, Holden, ME 044297251 | 2079443139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114494663 | Katherine Wynn Davenport | Speech-Language Pathologist | 1321 Cedar Ln, Tullahoma, TN 37388-2227 | 2018-11-01 |
| 1912474990 | Katherine Mariah Davenport | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2018-10-29 |
| 1841451184 | Katherine P Davenport | Surgery | 1919 E Thomas Rd, Phoenix, AZ 85016 | 2008-06-19 |
| Street Address |
126 WILEY RD APT B2 |
| City | GREENE |
| State | ME |
| Zip Code | 04236-3477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619209830 | Jacqueline Ann Schomaker | Pharmacist | 19b Patten Road, Greene, ME 04236 | 2010-02-12 |
| 1831325968 | Relatives and Friends for Support, Inc. | Assisted Living Facility | 75 West Main Street, Greene, ME 04236 | 2009-06-03 |
| 1053458695 | Anita G Letendre | Counselor | 344 Rt 202, Greene, ME 04236 | 2007-01-31 |
| 1679954325 | Audrie Prince | Occupational Therapy Assistant | 141 Main Street, Greene, ME 04236 | 2015-06-17 |
| 1164726014 | Greene Village Pharmacy Inc | Pharmacy | 19b Patten Road, Greene, ME 04236-0000 | 2011-01-07 |
| 1164547816 | Sheryl Milliken | Speech-Language Pathologist | 978 Sawyer Rd, Greene, ME 04236-3028 | 2007-03-20 |
| 1831502954 | Tammy Dorothy Brule | Counselor | 34 Brule Rd, Greene, ME 04236-3104 | 2014-06-05 |
| 1972764751 | Carol Lee Lepage | Mechanotherapist | 111 College Rd, Greene, ME 04236-3307 | 2008-06-24 |
| 1104241413 | Renee Dumais | Counselor | 271 College Rd, Apt 10, Greene, ME 04236-3357 | 2014-02-24 |
| 1316292170 | Shannon Lee Bunnitt | Counselor | 607 River Rd, Greene, ME 04236-4148 | 2012-07-18 |
| Find all providers in zip 04236 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403454 | Jacqueline Robilliard Rd Cde LLC Nutrition Care Center | Dietitian, Registered | 219 Cony Rd, Augusta, ME 04330-0502 | 2020-10-07 |
| 1891392312 | Donna Lynn Walsh | Dietitian, Registered | 10 Stagecoach Rd, Liberty, ME 04949-3133 | 2020-10-07 |
| 1407463888 | Ria Kathleen Saunders | Dietitian, Registered | 219 Cony Rd # 1, Augusta, ME 04330-0502 | 2020-09-29 |
| 1407476351 | Tara Gould | Dietitian, Registered | 6 State St Ste 607, Bangor, ME 04401-5140 | 2020-04-21 |
| 1497395081 | Common Beet Nutrition Counseling, LLC | Dietitian, Registered | 21 Simpson Rd, Saco, ME 04072-9554 | 2020-01-10 |
| 1245873868 | Lori A Kaley | Dietitian, Registered | 689 Wings Mills Rd, Mount Vernon, ME 04352-3807 | 2019-10-27 |
| 1225688195 | Brianna Nicole Fortin | Dietitian, Registered | 120 Main St # 113, Saco, ME 04072-3527 | 2019-09-12 |
| 1629636725 | Andrea Paul | Dietitian, Registered | 33 Tucker Ave, Portland, ME 04103-1422 | 2019-06-03 |
| 1477018430 | Kim David | Dietitian, Registered | 13 Buds Trl, Cumberland, ME 04021-3162 | 2019-02-04 |
| 1669949517 | Kari Lane | Dietitian, Registered | 636 Allen Ave, Portland, ME 04103-3706 | 2018-10-30 |
| Find all providers with the same taxonomy | ||||
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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.