NIKKI LEE DAVENPORT (NPI# 1932610367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932610367 |
| Entity Type | Individual |
| Full Name | NIKKI LEE DAVENPORT |
| Credential | FNP |
| Practice Address |
106 S Military St Loretto TN 38469-2100 |
| Mailing Address |
314 Church St Loretto TN 38469-2145 |
| Practice Telephone | 9318534622 |
| Practice Fax Number | 9318534621 |
| Mailing Telephone | 9312429298 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
23085 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 314 Church St, Loretto, TN 384692145 | 9312429298 |
| Street Address |
106 S MILITARY ST |
| City | LORETTO |
| State | TN |
| Zip Code | 38469-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730565789 | Jeffrey H Hernandez | Nurse Practitioner | 106 S Military St, Loretto, TN 38469-2100 | 2015-07-31 |
| 1235687807 | Mona Olive | Nurse Practitioner | 106 S Military St, Loretto, TN 38469-2100 | 2016-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982993473 | Kimberly Lane Johnson | Social Worker | 161 Fleming Road, Loretto, TN 38469 | 2011-04-05 |
| 1891753117 | Rufus G Harmon | Pharmacist | 534 N Military St, Loretto, TN 38469 | 2006-05-03 |
| 1790756724 | Gail Yvonne Kase | Psychiatry & Neurology | Bldg. 52 Lake Drive, Va Medical Center, Mountain Home, TN 38469 | 2006-01-28 |
| 1174522007 | Emily V Gillespie | Nurse Practitioner | 722 N. Military Ave., Loretto, TN 38469 | 2005-07-21 |
| 1366080582 | Matthew E. Schantz, M.d. | Clinic/Center | 206 S Military St Ste 1, Loretto, TN 38469-2101 | 2019-12-18 |
| 1659514776 | Amg Crockett LLC | Family Medicine | 106 S Military Ave, Loretto, TN 38469-2101 | 2009-04-20 |
| 1427096262 | Matthew E. Schantz | Family Medicine | 206 S Military St, Loretto, TN 38469-2101 | 2006-06-03 |
| 1578799821 | Loretto Communication Services, Inc. | Emergency Response System Companies | 136 S Main St, Loretto, TN 38469-2110 | 2009-06-01 |
| 1184688954 | Timothy Wayne Holt | Pharmacist | 106 Church St, Loretto, TN 38469-2143 | 2006-04-17 |
| 1043225675 | Loretto Drugs L L C | Pharmacy | 106 Church St, Loretto, TN 38469-2143 | 2006-07-30 |
| Find all providers in zip 38469 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134605504 | Sharon M Biter | Nurse Practitioner | 475 Thomas Rd, Loretto, PA 15940-7205 | 2018-07-18 |
| 1730565789 | Jeffrey H Hernandez | Nurse Practitioner | 106 S Military St, Loretto, TN 38469-2100 | 2015-07-31 |
| 1174522007 | Emily V Gillespie | Nurse Practitioner | 722 N. Military Ave., Loretto, TN 38469 | 2005-07-21 |
| 1235687807 | Mona Olive | Nurse Practitioner | 106 S Military St, Loretto, TN 38469-2100 | 2016-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003731 | Erika Erickson | Nurse Practitioner | 2205 Steel Ct, Nolensville, TN 37135-9562 | 2020-11-06 |
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1477154367 | Katrina Miller | Nurse Practitioner | 515 Lillard Rd, Murfreesboro, TN 37130-3131 | 2020-11-05 |
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1295333045 | Alma Sue Moore | Nurse Practitioner | 14 Shady Lane Est, Humboldt, TN 38343-6650 | 2020-10-14 |
| 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.