Active NPI
Susan Elizabeth Davenport, APRN
- Nurse Practitioner
- South Yarmouth, MA
National Provider Identifier
1053656371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN130742
- Practice address
- 23 F. Whites Path
South Yarmouth, MA 02664 - Phone
- (508) 760-2054
- Fax
- (508) 760-1218
- NPI assigned
- Nov 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN130742 | MA | Primary |
Addresses
Primary practice location
23 F. Whites Path
South Yarmouth, MA 02664
Mailing address
23 F. Whites Path
South Yarmouth, MA 02664
Phone (508) 760-2054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354060800000",
"number": "1053656371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 F. WHITES PATH",
"city": "SOUTH YARMOUTH",
"state": "MA",
"postal_code": "02664",
"telephone_number": "508-760-2054",
"fax_number": "508-760-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 F. WHITES PATH",
"city": "SOUTH YARMOUTH",
"state": "MA",
"postal_code": "02664",
"telephone_number": "508-760-2054",
"fax_number": "508-760-1218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-28",
"last_updated": "2012-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN130742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Yarmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.