Rebecca Ellen Daverso, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60461406 Issued in WA

Practice address

550 17TH Ave Ste 500
Seattle, WA 98122-5789

Phone

(206) 320-2800

NPI assigned

Feb 14, 2023

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1194422741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 17TH AVE APT 206",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225754",
            "telephone_number": "253-514-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 17TH AVE STE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225789",
            "telephone_number": "206-320-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVERSO",
        "first_name": "REBECCA",
        "middle_name": "ELLEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60461406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN60461406",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra M Davenport, PT
• Susan Wickersham Davenport, MSW
• Wendy R. Davenport, RDH
• Yolanda R Davenport, RPH
• Kevin Daverman, OTR/L, OTD
• Elyse Diana Davey
• Tyler Len Davick, PHARMD
• David Au-Yeung, DMD., PLLC
• David C Hall MD PS
• David Carl Obenchain DDS, PLLC

• Registered Nurse in Seattle, WA
• Providers in Seattle, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.