Kelsey Davenport, CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP011099 Issued in GA

Practice address

10 Mall CT Ste B
Savannah, GA 31406-3691

Phone

(912) 351-4793

Fax

(888) 429-3741

NPI assigned

Apr 12, 2021

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

Practice roles

Locations

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

• Pediatric Rehabilitation and Wellness LLC

  • Pediatric Physical Therapist
  • Savannah, GA
  • NPI 1669785580
  NPD

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1144800475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MALL CT STE B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063691",
            "telephone_number": "912-351-4793",
            "fax_number": "888-429-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MALL CT STE B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063691",
            "telephone_number": "912-351-4793",
            "fax_number": "888-429-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "KELSEY",
        "credential": "CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Hugus Dascombe, MD
• Anurita Dass, MD
• Manoj K Dass, M.D.
• Timothy Daugherty, MD
• Emery Alviana Davenport
• Leah Davenport
• Nasharee Delese Davenport, RBT
• David Medical Enterprises
• Johnetta Marie Davidson
• Barbara L Davies, MD

• Speech-Language Pathologist in Savannah, GA
• Providers in Savannah, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.