CASSANDRA RENEE DAVENPORT (NPI# 1275984254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275984254 |
| Entity Type | Individual |
| Full Name | CASSANDRA RENEE DAVENPORT |
| Credential | APRN |
| Practice Address |
5121 S Cottonwood St Murray UT 84107-5701 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8015076400 |
| Mailing Telephone | 8014009676 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
7574219-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962052977 | Cassandra Long Davenport | Technician | 8522 Tilgham St., Houston, TX 77029 | 2019-09-12 |
| Street Address |
5121 S COTTONWOOD ST |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-5701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609873595 | Sarah Dawn Majercik | Surgery | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2005-07-07 |
| 1093312183 | Cherysh Hubbard Stock | Obstetrics & Gynecology | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-10-02 |
| 1922605062 | Sydney Schuessler | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-10-01 |
| 1790398931 | Elayne Manuela Pereira | Physical Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-08-27 |
| 1205449436 | Jared Hunt | Physical Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-08-27 |
| 1386256428 | Sarah Emily Boyt | Dietitian, Registered | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-08-19 |
| 1972111417 | Megan Neiheiser | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-07-21 |
| 1114535515 | Cory Ray Briggle | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-07-21 |
| 1528676509 | Melanie Nicole Emmerson | Genetic Counselor, MS | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-07-16 |
| 1205452844 | Kendall Snyder | Genetic Counselor, MS | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710494562 | Chelbi Wilde | Nurse Practitioner | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2018-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477764843 | Susi C Dalanhese | Nurse Practitioner | 8 Th Ave C St Promise Hospital, Slc, UT 84143-0001 | 2007-05-25 |
| 1942796644 | Bruce Ferrin | Nurse Practitioner | 8th Avenue & C Street, Salt Lake City, UT 84143-0001 | 2018-07-05 |
| 1093769218 | University of Utah Emergency Physicians | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-05-20 |
Please comment or provide details below to improve the information on CASSANDRA RENEE 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.