Kathy C Davenport, ARNP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R0044227 Issued in OK

Practice address

1609 N Strong Blvd Ste 300
McAlester, OK 74501-3881

Phone

(918) 423-3400

Fax

(918) 420-5051

NPI assigned

Oct 18, 2006

Last updated

Feb 28, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Davenport Adult Care Clinic

  • Family Medicine Physician
  • McAlester, OK
  • NPI 1174737621
  NPD (past) Authorized official
• Davenport Adult Care Clinic

  • Adult Health Nurse Practitioner
  • McAlester, OK
  • NPI 1689888299
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1073694717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1146",
            "address_2": "1609 N STRONG BLVD SUITE 300",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745021146",
            "telephone_number": "918-423-3400",
            "fax_number": "918-420-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 N STRONG BLVD STE 300",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745013881",
            "telephone_number": "918-423-3400",
            "fax_number": "918-420-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "KATHY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "ARNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "R0044227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "444864239001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasaundra Curtis
• Lisa Diane Dalton
• Janet Daniel
• Davenport Adult Care Clinic
• Davenport Adult Care Clinic
• David P Scroggins (Breathe Easy Respiratory Services)
• Kamileah Davis
• Liane M Davis, B.S.
• Mackenzie Ann Davis
• Matthew Davis

• Adult Health Nurse Practitioner in McAlester, OK
• Providers in McAlester, OK by specialty
• Adult Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.