JOHN RUSSELL DAVENPORT (NPI# 1821462805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821462805 |
| Entity Type | Individual |
| Full Name | JOHN RUSSELL DAVENPORT |
| Credential | LPCA |
| Practice Address |
635 Cox Rd Suite B Gastonia NC 28054-3424 |
| Practice Telephone | 7046917561 |
| Mailing Telephone | 7046917561 |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
A11964 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699987552 | John Andrew Davenport | Internal Medicine | 1618 Michigan Ave, #6, Miami Beach, FL 33139-2539 | 2007-05-04 |
| 1982792248 | John E Davenport | Podiatrist | 1490 Polaris St, Merritt Island, FL 32953-3127 | 2006-10-11 |
| 1356311260 | John Alan Davenport | Chiropractor | 2710 S 3rd St, Jacksonville Beach, FL 32250 | 2006-01-24 |
| 1891186276 | John Davenport | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2015-02-06 |
| 1306917208 | John Y. Davenport | Family Medicine | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-13 |
| 1326156464 | John Lincoln Davenport | Counselor | 3320 173rd Pl Ne, Arlington, WA 98223-8712 | 2006-08-28 |
| 1033125109 | John D Davenport | Internal Medicine | 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 | 2006-07-31 |
| 1790709210 | John E. Davenport | Internal Medicine | 332 Sam Newell Rd, Suite 2000, Matthews, NC 28105-6566 | 2006-07-27 |
| 1205810488 | John G Davenport | Psychiatry & Neurology | 6490 Excelsior Blvd, Suite E500, St Louis Park, MN 55426-4705 | 2005-12-01 |
| Street Address |
635 COX RD SUITE B |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612642 | Natu V Patel | Internal Medicine | 635 Cox Rd, Suite E, Gastonia, NC 28054-3441 | 2005-07-08 |
| 1326558263 | Casey Jolly | Social Worker | 635 Cox Rd, B, Gastonia, NC 28054 | 2017-10-05 |
| 1033663885 | Ashleigh Fogg | Social Worker | 635 Cox Rd, Suite B, Gastonia, NC 28054-3424 | 2016-08-10 |
| 1124572979 | Lakeysha Marquita Sawyer | Social Worker | 635 Cox Rd, Suite B, Gastonia, NC 28054-3424 | 2016-08-10 |
| 1205202165 | Courtney Boller | Marriage & Family Therapist | 635 Cox Rd, Unit B, Gastonia, NC 28054-3424 | 2015-08-14 |
| 1730562067 | Tia Mintz | Social Worker | 635 Cox Rd, Suite B, Gastonia, NC 28054-3424 | 2015-07-06 |
| 1407254212 | Barbretta Cook | Counselor | 635 Cox Rd, Gastonia, NC 28054-3424 | 2014-12-10 |
| 1487058699 | Michael Carr Sumner | Social Worker | 635 Cox Rd, Gastonia, NC 28054-3424 | 2014-10-17 |
| 1972895175 | Keosha D.v. Montgomery | Counselor | 635 Cox Rd, Gastonia, NC 28054-3424 | 2011-05-05 |
| 1093949109 | Gaston Adolescent Center, Inc. | Case Management | 635 Cox Rd, Suite B, Gastonia, NC 28054 | 2009-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700356623 | Greater Developmental Achievements | Counselor | 2020 Remount Rd Ste E105, Gastonia, NC 28054-7476 | 2018-12-04 |
| 1659841112 | Steven Christopher Land | Counselor | 1517 Spencer Mountain Rd, Gastonia, NC 28054-3016 | 2018-11-27 |
| 1083131049 | Leah Webster | Counselor | 1554c Union Rd Ste 5, Gastonia, NC 28054-5541 | 2017-08-29 |
| 1528509262 | Chad Mcghee | Counselor | 2397 Erika Ln, Gastonia, NC 28056-8800 | 2017-03-14 |
| 1033653050 | Cindy Odom | Counselor | 1305 E Garrison Blvd, Gastonia, NC 28054-5127 | 2016-12-09 |
| 1982152245 | Wendy Johnston | Counselor | 1554c Union Rd Ste 4, Gastonia, NC 28054-5541 | 2016-09-15 |
| 1558734855 | Doreen Velazquez | Counselor | 2005 Angler Way, Gastonia, NC 28052-7182 | 2015-11-09 |
| 1942622907 | Jennifer Harrington | Counselor | 839 Majestic Court, Unit 9, Gastonia, NC 28054 | 2014-01-10 |
| 1316372246 | Steven Lyle Liscum | Counselor | 2032 Pine Needle Ct, Gastonia, NC 28056-1661 | 2013-09-11 |
| 1477997310 | Rachel Marie Hartman | Counselor | 2408 Cricket Ln, Gastonia, NC 28052-5091 | 2013-04-22 |
| Find all providers in GASTONIA | ||||
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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.