MRS. ANDREA LYNN DAVENPORT (NPI# 1487206306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487206306 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA LYNN DAVENPORT |
| Other Name | MISS ANDREA LYNN WILSON |
| Credential | MS, FNP-BC |
| Practice Address |
703 W Park St Cayuga IN 47928-8207 |
| Mailing Address |
4264 S 430 E Kingman IN 47952-8037 |
| Practice Telephone | 7654929042 |
| Mailing Telephone | 7653762320 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71009111A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851772529 | Andrea Davenport | Private Vehicle | 17321 Indiana St, Detroit, MI 48221-2402 | 2015-06-17 |
| 1467400465 | Andrea Michelle Davenport | Licensed Vocational Nurse | Bldg 170 Inner Loop, Room 300, Fort Irwin, CA 92310 | 2006-05-04 |
| Street Address |
703 W PARK ST |
| City | CAYUGA |
| State | IN |
| Zip Code | 47928-8207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417284043 | Valley Professionals Community Health Center, Inc. | Clinic/Center | 703 W Park St, Cayuga, IN 47928-8207 | 2009-11-03 |
| 1497382402 | Zakary Bushue | Social Worker | 703 W Park St, Cayuga, IN 47928-8207 | 2020-03-27 |
| 1245878529 | Jr Pharmacy LLC No 5 | Pharmacy | 703 W Park St, Cayuga, IN 47928-8207 | 2019-12-17 |
| 1477049989 | Jamie Renee Tidwell | Dental Hygienist | 703 W Park St, Cayuga, IN 47928-8207 | 2018-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841823168 | Illiana Ems, Inc. | Ambulance | 216 N Eugene Ave, Cayuga, IN 47928 | 2020-02-14 |
| 1033563846 | Jordan West | Specialist/Technologist | 205 South Logan Street, Cayuga, IN 47928 | 2016-04-18 |
| 1346390309 | Parke Clinic, PC | Family Medicine | 101 Grant St, Cayuga, IN 47928 | 2007-01-11 |
| 1104871664 | Union Hospital Inc | Family Medicine | 114 N Division Street, Cayuga, IN 47928 | 2006-05-23 |
| 1366774960 | Harrell's Home Healthcare, LLC | Home Health | 133 W Jackson St, Cayuga, IN 47928-8022 | 2010-02-05 |
| 1184019887 | Casey West | Specialist/Technologist | 3792 N 75 W, Cayuga, IN 47928-8114 | 2015-03-31 |
| 1477665537 | North Vermillion Comm. School Corporation | Local Education Agency (LEA) | 5551 N Falcon Dr, Cayuga, IN 47928-8181 | 2006-08-31 |
| 1821032111 | Maureen A Socha | General Practice | 101 N Grant St, Cayuga, IN 47928-8208 | 2006-06-16 |
| 1639325137 | Erik P Southard | Nurse Practitioner | 114 N Division St, Cayuga, IN 47928-8230 | 2008-08-15 |
| 1790941086 | Laurie Joy Blanco Valera | Family Medicine | 114 N. Division, Cayuga, IN 47928-8230 | 2008-08-06 |
| Find all providers in zip 47928 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639325137 | Erik P Southard | Nurse Practitioner | 114 N Division St, Cayuga, IN 47928-8230 | 2008-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
| 1578162459 | Kourtney Marie Terry | Nurse Practitioner | 128 Miner Rd, Avilla, IN 46710-9690 | 2020-10-21 |
| 1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
| 1730788720 | Camille Mae Carl | Nurse Practitioner | 6441 Anna Louise Dr, Charlestown, IN 47111-8797 | 2020-10-20 |
| 1124626585 | Dustin Mikesell | Nurse Practitioner | 1000 E Main St Ste 104, Danville, IN 46122-1948 | 2020-10-16 |
| 1144828799 | Mina Desai-patel | Nurse Practitioner | 14698 Drayton Dr, Noblesville, IN 46062-8230 | 2020-10-15 |
| 1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
| 1023616125 | Kimberly Dawn Calloway | Nurse Practitioner | 5306 E Blocher Rd, Lexington, IN 47138-8803 | 2020-10-12 |
| 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.