Active NPI
Daryl Davenport
- Home Health Aide
- Ord, NE
National Provider Identifier
1164317848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 38757
- Practice address
- 2707 L St
Ord, NE 68862-1275 - Phone
- (308) 728-4355
- NPI assigned
- Jun 11, 2025
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 38757 | NE | Primary |
Addresses
Primary practice location
2707 L St
Ord, NE 68862-1275
Mailing address
47278 818TH Rd
Elyria, NE 68837-7101
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38757 | NE | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1164317848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47278 818TH RD",
"city": "ELYRIA",
"state": "NE",
"postal_code": "688377101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2707 L ST",
"city": "ORD",
"state": "NE",
"postal_code": "688621275",
"telephone_number": "308-728-4355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT",
"first_name": "DARYL",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-06-11",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NE",
"license": "38757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ord, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.