Katherine Wynn Davenport, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0000003928 Issued in TN

Practice address

1321 Cedar LN
Tullahoma, TN 37388-2227

Phone

(931) 222-4207

NPI assigned

Nov 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1114494663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LAKE CIRCLE DR",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373885210",
            "telephone_number": "931-247-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 CEDAR LN",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882227",
            "telephone_number": "931-222-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "KATHERINE",
        "middle_name": "WYNN",
        "name_prefix": "Mrs.",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000003928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha R Daddio, RN
• Daigle Medical Services, LLC
• Edward J Daigle, CRNA
• Evan D Dalton, DPT
• Melody Joy Daugherty
• Molly Davis
• Natasha Monique Davis, M.S.
• Philip Carson Davis
• Sarah Elizabeth Davis, MT-BC, TEACHING CERT
• Susan Davis, BA

• Speech-Language Pathologist in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.