TREMELL DAVENPORT (NPI# 1184159709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184159709 |
| Entity Type | Individual |
| Full Name | TREMELL DAVENPORT |
| Practice Address |
1515 Ne Lawrie Tatum Rd Lawton OK 73507-3002 |
| Practice Telephone | 5803545270 |
| Mailing Telephone | 5803545270 |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 103405 | OK | Nursing Service Providers |
| Street Address |
1515 NE LAWRIE TATUM RD |
| City | LAWTON |
| State | OK |
| Zip Code | 73507-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982160 | Greg Alan Ketcher | Optometrist | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2005-06-14 |
| 1295332765 | Dean Thompson | Case Manager/Care Coordinator | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-10-07 |
| 1447863832 | Susan Browning | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-08-26 |
| 1144831983 | Christopher Anthony | Radiologic Technologist | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-08-14 |
| 1851914782 | Emily Jean Mcintosh | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-05-27 |
| 1215559828 | Miaka Huynh | Pharmacist | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-05-18 |
| 1568084671 | Janet Laura Tippeconnic | Technician, Other | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-05-12 |
| 1598387698 | Edward Jerome Tahhahwah IIi | Technician, Other | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-05-12 |
| 1861014961 | Amber Karty | Technician, Other | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-05-12 |
| 1689293227 | Stephanie Young | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720619935 | Kori Wren Wiegmann | Registered Nurse | 1515 Nw Lawrie Tatum Road, Lawton, OK 73507 | 2020-01-28 |
| 1013424027 | Liane Jacobson | Registered Nurse | 1515 Laurie Tatum Road, Adult Care Clinic 2, Lawton, OK 73507 | 2017-12-29 |
| 1649727041 | Rachel Ayala | Dietitian, Registered | 2811 Nw Hilltop Dr, Lawton, OK 73507 | 2016-09-02 |
| 1811370471 | William S, Davies, M.d., Inc. | Psychiatric Residential Treatment Facility | 1302 N, W, Lake Ave, Lawton, OK 73507 | 2015-07-01 |
| 1538554894 | Ashlee A Haugen-lewis | Behavioral Analyst | 4121 W Gore, Lawton, OK 73507 | 2015-04-03 |
| 1003188970 | Jenny Rae Mohon | Registered Nurse | 1515 North East Lawrie Tatum Road, Usphs Lawton Indian Hospital, Lawton, OK 73507 | 2012-02-07 |
| 1558548578 | Dawn M Griffith | Registered Nurse | 1515 Lawrie Tatum Dr., Lawton, OK 73507 | 2008-01-22 |
| 1275605172 | Judy Weiss | Pharmacist | 524 Lawrie Tatum Rd, Lawton, OK 73507 | 2006-11-15 |
| 1790895894 | William Spalding Davies | Psychiatry & Neurology | 1302 Lake Ave, Lawton, OK 73507 | 2006-08-30 |
| 1275646374 | Phillip Lynn Aday | Dentist | 1116 Nw Arlington, Lawton, OK 73507 | 2006-08-16 |
| Find all providers in zip 73507 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720612310 | Michele G Perdasofpy | Registered Nurse | 1515 Ne Lawrie Tatum Road, Lawton, OK 73507-3099 | 2020-02-24 |
| 1457833915 | Mark Stephens | Registered Nurse | 811 Sw Washington Ave, Lawton, OK 73501-7425 | 2018-08-31 |
| 1881148575 | Pamela Agaba | Registered Nurse | 1604 Ne 36th St, Lawton, OK 73507-8212 | 2016-08-10 |
| 1750835450 | Robert Kendall | Registered Nurse | 6909 Silver Creek Cir, Lawton, OK 73505-4211 | 2016-08-10 |
| 1356703672 | Phyllis Jean Washburn | Registered Nurse | 1226 Nw 57th St, Lawton, OK 73505-4613 | 2016-03-25 |
| 1306215389 | Rebecca Aponte-morales | Registered Nurse | 502 Nw 73rd St, Lawton, OK 73505-5411 | 2015-09-19 |
| 1427451533 | Alysia Nadel | Registered Nurse | 2315 Sw 44th St, Lawton, OK 73505-8046 | 2014-10-02 |
| 1003250507 | Michael Spear | Registered Nurse | 307 Sw 79th St, Lawton, OK 73505-6438 | 2013-04-26 |
| 1770831836 | Vanessa Hebel | Registered Nurse | 1413 Nw 23rd St, Lawton, OK 73505-3906 | 2012-08-21 |
| 1174897276 | Rachelle Denise Ward | Registered Nurse | 4041 Se Bedford Cir, Lawton, OK 73501-6570 | 2012-03-07 |
| Find all providers in LAWTON | ||||
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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.