DAVENPORT ADULT CARE CLINIC (NPI# 1689888299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689888299 |
| Entity Type | Organization |
| Organization Name | DAVENPORT ADULT CARE CLINIC |
| Practice Address |
1609 N. Strong Blvd Suite 300 Mcalester OK 74501-1146 |
| Practice Telephone | 9184233400 |
| Practice Fax Number | 9184205051 |
| Mailing Telephone | 9184233400 |
| Mailing Fax Number | 9184205051 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KATHY C DAVENPORT (OWNER) |
| Authorized Official Telephone | 9184233400 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R0044227 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174737621 | Davenport Adult Care Clinic | Family Medicine | 1609 N Strong Blvd, Suite 300, Mcalester, OK 74501-1146 | 2007-05-10 |
| Street Address |
1609 N. STRONG BLVD SUITE 300 |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501-1146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073694717 | Kathy C Davenport | Nurse Practitioner | 1609 N Strong Blvd Ste 300, Mcalester, OK 74501-3881 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050934 | Kelly Elise White | Nurse Practitioner | 3500 Healthplex Pkwy Ste 200, Norman, OK 73072-9738 | 2020-07-09 |
| 1801418991 | Brooke Elizabeth Young | Nurse Practitioner | 825 Ne 10th St Ste 2g, Oklahoma City, OK 73104-5417 | 2020-05-11 |
| 1790315729 | Robin Annette Dockins | Nurse Practitioner | 11404 Bluff Creek Dr, Oklahoma City, OK 73162-3725 | 2020-01-17 |
| 1174178784 | Chelsea Monique Ritzendollar | Nurse Practitioner | 3946 U.S. Highway 270, Fort Supply, OK 73841-9718 | 2019-08-09 |
| 1194283424 | Nancy Ann Owens | Nurse Practitioner | 5101 Sw 120th Ct, Oklahoma City, OK 73173-8875 | 2019-03-05 |
| 1528526084 | Cheryl Renee Partridge | Nurse Practitioner | 16161 Moffat Rd., Lexington, OK 73051 | 2019-03-04 |
| 1457824161 | Dawn Medi Spa, Inc | Nurse Practitioner | 1243 South Harvard Ave, Dawn Medi Spa, Inc, Tulsa, OK 74112 | 2019-01-04 |
| 1487125282 | Michael Scott Eskew | Nurse Practitioner | 14100 Parkway Commons Dr Ste 100, Oklahoma City, OK 73134-6036 | 2018-12-06 |
| 1114494077 | Crystal Jean Oneal | Nurse Practitioner | 10337 Paisley Rd, Yukon, OK 73099-7859 | 2018-10-30 |
| 1073099503 | Tracy Elaine Lane | Nurse Practitioner | 20169 E 960 Rd, Hammon, OK 73650-5032 | 2018-07-18 |
| 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.