BRENDA KAY DAVENPORT


Address: 201 S Lloyd St, Suite E201, Aberdeen, SD 57401-4552
Phone: 6056222545

BRENDA KAY DAVENPORT (NPI# 1265560163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265560163
Entity Type Individual
Full Name BRENDA KAY DAVENPORT
Credential CNP
Practice Address 201 S Lloyd St
Suite E201
Aberdeen
SD 57401-4552
Mailing Address Po Box 1460
Aberdeen
SD 57402-1460
Practice Telephone 6056222545
Practice Fax Number 6056222531
Mailing Telephone 6056222545
Mailing Fax Number 6056222531
Enumeration Date 2007-03-01
Last Update Date 2008-11-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner CP000401 SD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SD WELLMARK BC/BS OF SD 4992470 01
SD DAKOTACARE 9240654 01
SD PREFERRED ONE 340071053796 01
ND 19897 05
SD MIDLANDS CHOICE 255183 01
SD 6829900 05

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Office Location

Street Address 201 S LLOYD ST
SUITE E201
City ABERDEEN
State SD
Zip Code 57401-4552

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487651477 Sanjay Mukerji Surgery 201 S Lloyd St, Suite W230, Aberdeen, SD 57401-4552 2005-07-05
1063805604 Cosmetic and Plastic Surgery Specialists, PC Plastic Surgery 201 S Lloyd St, W230, Aberdeen, SD 57401-4552 2015-03-06
1356740781 Joni Larson Counselor 201 S Lloyd St, Ste E201, Aberdeen, SD 57401-4552 2014-08-21
1538504832 Thomas G. Harbert Orthopaedic Surgery 201 S Lloyd St, Suite 110, Aberdeen, SD 57401-4552 2013-05-01
1790036580 Aberdeen Association of Orthopedic Orthopaedic Surgery 201 S Lloyd St, Suite W110, Aberdeen, SD 57401-4552 2012-09-20
1821363474 Becky R Schuldt Counselor 201 S Lloyd St, Suite E201, Aberdeen, SD 57401-4552 2012-03-15
1578882387 Aberdeen Asthma & Allergy PC Allergy & Immunology 201 S Lloyd St, W190, Aberdeen, SD 57401-4552 2010-05-19
1316279391 Great Plains Rehabilitation Medicine, PC Physical Medicine & Rehabilitation 201 S Lloyd St, Ste. W130, Aberdeen, SD 57401-4552 2010-02-02
1881824977 Avera St. Luke's Psychiatry & Neurology 201 S Lloyd St, Suite E202, Aberdeen, SD 57401-4552 2009-07-23
1851547798 Avera St. Luke's Surgery 201 S Lloyd St, Suite W230, Aberdeen, SD 57401-4552 2008-08-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679002950 Brenda Lee Pence Registered Nurse 305 S. State St., Aberdeen, SD 57401 2017-06-08
1104366475 Jordan Shangreaux Specialist/Technologist 2200 S Roosevelt St, Aberdeen, SD 57401 2017-03-06
1205387545 Midwest Medical Transport Company, LLC-aberdeen, Sd Ambulance 2919 Industrial Avenue, Aberdeen, SD 57401 2016-10-21
1356752471 Cameron Eichler Enterprises Hearing Aid Equipment 110 6th Ave Se Ste 106, Aberdeen, SD 57401 2014-05-12
1184059412 Richard Allen Ward IIi Hearing Instrument Specialist 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 2013-09-05
1427395540 Matthew William Svensen Physical Therapist 1109 S Jay St, Aberdeen, SD 57401 2013-01-09
1750655940 Robert Ashly Froke Audiologist 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 2012-03-06
1457504862 Rodney S Johnson Counselor 14 S Main St Ste 1e, Aberdeen, SD 57401 2008-10-29
1518115005 Dakota Chiropractic of Aberdeen, PC Chiropractor 520 Moccasin Drive, Aberdeen, SD 57401 2008-09-09
1558554626 Tiffany Zimmerman Hoeft Speech-Language Pathologist 39515 Pintail Ave, Aberdeen, SD 57401 2007-08-22
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316565914 Youchoose Nurse Practitioner 10071 Imc Rd, Aberdeen, MS 39730-8408 2020-07-09
1437645892 Leigh Anne Collins - Vazquez Atecas Nurse Practitioner 217 N Boone St Ste C, Aberdeen, WA 98520-7612 2018-07-09
1275058216 Angela Marie Mackner Nurse Practitioner 201 S Lloyd St Ste W190, Aberdeen, SD 57401-4509 2017-08-10
1801201439 Tiffany Bruckner Nurse Practitioner 201 S Lloyd St Ste E201, Aberdeen, SD 57401-4509 2014-06-23
1407008469 Marjorie J Nunez Nurse Practitioner 1006 N H St Fl 4, Aberdeen, WA 98520 2008-10-21
1043225576 Nina P Jurney Nurse Practitioner 502 Jackson St, Suite 4, Aberdeen, MS 39730-3300 2006-07-31
1154323319 Rebecca S Mooney Nurse Practitioner 19 Walnut Ln, Aberdeen, MD 21001-2479 2005-06-01
1245706001 Charles Xavier Pugsley Nurse Practitioner 3015 3rd Ave Se, Aberdeen, SD 57401-5418 2018-10-19
1457893604 Jenny Hepper Nurse Practitioner 1409 6th Ave Se, Ste. 5, Aberdeen, SD 57401-4950 2016-11-04
1306395710 Jordan Voss-severson Nurse Practitioner 3015 3rd Ave Se, Aberdeen, SD 57401-5418 2016-09-26
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Competitor

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City ABERDEEN
Zip Code 57401

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Dataset Information

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.

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