Individual provider Active NPI

Laura D Davenport-Reed, MD

  • Internal Medicine Physician
  • Silver City, NM
National Provider Identifier
1164473641
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2003-0018 Issued in NM
Practice address
1600 E 32ND St
Silver City, NM 88061-7287
Phone
(575) 538-2981
Fax
(575) 388-3373
NPI assigned
May 12, 2006
Last updated
Jan 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2003-0018 NM Primary
Pediatrics Physician 208000000X 2003-0018 NM

Addresses

Primary practice location

1600 E 32ND St
Silver City, NM 88061-7287

Mailing address

1600 E 32ND St
Silver City, NM 88061-7287
Phone (575) 538-2981

Other identifiers 1

IdentifierTypeStateIssuer
35007079MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040416000762 NM Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0648265959 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Utah School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Health Care PCGroup PAC ID 5698668333, 16 clinicians

Practice addresses (Care Compare)

1600 E 32ND St
Silver City, NM 88061-7287
Phone (575) 538-2981

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2003-0018NMMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Health Care PC Internal Medicine CurrentSince Jul 1, 2006 Accepting new patients
Cura Healthcare Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Ess Hospitalist LLC CurrentSince Jan 11, 2014 Accepting new patients

Locations

8226 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 413-3719

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

1600 E 32nd St
Silver City, NM 88061
Phone (505) 538-2981

7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20156/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laura.davenport-reed.1@20156.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1164473641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617287",
            "telephone_number": "575-538-2981",
            "fax_number": "575-388-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617287",
            "telephone_number": "575-538-2981",
            "fax_number": "575-388-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT-REED",
        "first_name": "LAURA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "2003-0018",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "2003-0018",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35007079",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.