John Davenport

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1301 College Ave
Fredericksburg, VA 22401-5300

Phone

(540) 654-1874

NPI assigned

Sep 30, 2022

Sex

Male

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

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1194449314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10108 BALLSTON RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224080287",
            "telephone_number": "434-221-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 COLLEGE AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015300",
            "telephone_number": "540-654-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sintrel Patrice Dass
• Mary A. F. Dauch, PT, DPT, OCS
• Matthew Daugherty, FNP
• Sarah Elizabeth Davalle, AGACNP-BC
• Rebecca Daveler
• Anjali Davichan
• David R Rose OD & Assoc PC
• Cheryl B Davidson, PA
• Lauren Davidson, MD
• Margaret Davidson

• Athletic Trainer in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.