DR. KRISTEN DAVENPORT LOCKE (NPI# 1649779760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649779760 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN DAVENPORT LOCKE |
| Other Name | KRISTEN ELIZABETH DAVENPORT |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1407 Union Ave Memphis TN 38104-3627 |
| Mailing Address |
301 S Perimeter Park Dr Ste 210 Nashville TN 37211-4128 |
| Practice Telephone | 8772588795 |
| Mailing Telephone | 8772587895 |
| Enumeration Date | 2018-02-04 |
| Last Update Date | 2018-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APN0000023636 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083647176 | Kristen Locke | Pharmacist | 3200 Vine St, Pharmacy 119, Cincinnati, OH 45220-2213 | 2006-07-09 |
| 1134157423 | Kristen Ann Locke | Specialist/Technologist | 70 Butler St, Salem, NH 03079-3925 | 2006-06-28 |
| Street Address |
1407 UNION AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962460998 | Michael C Mcconnell | Nurse Anesthetist, Certified Registered | 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 | 2006-05-01 |
| 1346769866 | Memphis Health & Wellness | Nurse Practitioner | 1407 Union Ave, Suite 107, Memphis, TN 38104 | 2017-09-15 |
| 1306206529 | Victoria Traylor | Counselor | 1407 Union Ave, Suite 100, Memphis, TN 38104-3627 | 2016-03-01 |
| 1841659232 | Omni Community Health | Clinic/Center | 1407 Union Ave, Suite 100, Memphis, TN 38104-3627 | 2016-02-15 |
| 1316320880 | Omni Community Health | Community/Behavioral Health | 1407 Union Ave, Suite 815, Memphis, TN 38104-3679 | 2015-07-02 |
| 1326436452 | Memphis Vamc | Clinic/Center | 1407 Union Ave, 11th Floor, Memphis, TN 38104-3627 | 2014-12-23 |
| 1962839324 | Heather L Gammel | Psychologist | 1407 Union Ave, Memphis, TN 38104-3627 | 2013-10-01 |
| 1235482522 | Allison Thornell West | General Acute Care Hospital | 1407 Union Ave, Memphis, TN 38104-3627 | 2012-10-24 |
| 1700185089 | Sanjaya Kumar Satapathy | Internal Medicine | 1407 Union Ave, Suite 640, Memphis, TN 38104-3627 | 2011-03-25 |
| 1336441419 | Shane W. Coughlin | Emergency Medicine | 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 | 2010-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049977 | Toya Owens | Nurse Practitioner | 2565 Mackinnon Dr, Memphis, TN 38119-7903 | 2020-09-26 |
| 1679197974 | Billi-jo Fulton | Nurse Practitioner | 6932 Guyder Rd, Memphis, NY 13112-8711 | 2020-06-02 |
| 1417518077 | Raghib Dennis | Nurse Practitioner | 1518 Arbor View Ct Apt 206, Memphis, TN 38134-8859 | 2019-06-25 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1407115579 | Allyson Brooke Williams | Nurse Practitioner | 5050 Poplar Avenue Suite 511, Memphis, TN 38157-0618 | 2012-05-10 |
| 1497883607 | Gerome Alonzo Grivas | Nurse Practitioner | 3175 Lenox Park Blvd Ste 412, Memphis, TN 38115-4256 | 2007-03-01 |
| 1831172444 | Len N. Getz | Nurse Practitioner | 708 S Mendenhall Rd, Memphis, TN 38117-5213 | 2005-11-29 |
| 1326046707 | Angela C Hammond | Nurse Practitioner | 2579 Douglass Ave, Southeast Mental Health Center, Memphis, TN 38114-2532 | 2005-07-11 |
| 1447859053 | Willie Faye Kelly | Nurse Practitioner | 951 Court Ave, Memphis, TN 38103-2813 | 2020-10-23 |
| 1225643018 | Melanie Warren | Nurse Practitioner | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-09-09 |
| Find all providers in MEMPHIS | ||||
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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.