Trina N Davenport

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

RSA-02149 Issued in MD

Practice address

22 W Pennsylvania Ave Ste 405
Towson, MD 21204-5003

Phone

(410) 832-3715

Fax

(410) 832-3163

NPI assigned

Apr 2, 2024

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

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": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1184476368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 HENRY HARFORD DR",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091130",
            "telephone_number": "443-854-8835",
            "fax_number": "443-835-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W PENNSYLVANIA AVE STE 405",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045003",
            "telephone_number": "410-832-3715",
            "fax_number": "410-832-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "TRINA",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "RSA-02149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Dassoulas, DDS, NBCHWC
• Abbigail Daubach
• Molly Marie Dausch, MSCCC-SLP
• Pankaj B. Dave, P.A.
• Vihang Dave
• David L Bloom PA
• David P. Boersma, M.D., L.L.C.
• David P. Boersma, M.D., L.L.C.
• David William Deveas DDS
• Rene Patrice David, LCSW-C

• Home Health Agency in Towson, MD
• Providers in Towson, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.