Angela R Davenport, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

27979 Issued in TN

Practice address

1090 Old Florence Rd
Lawrenceburg, TN 38464-8401

Phone

(931) 762-6505

NPI assigned

Aug 5, 2020

Reactivated

Jun 25, 2021

Last updated

Jun 25, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cedar Recovery Center of Middle Tennessee, LLCGroup PAC ID 0446671440, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Cedar Recovery Center of Middle Tennessee, LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Columbia, TN
  • NPI 1801345285
  Medicare reassignment Care Compare group NPD
• Nashville Brain Institute

  dba Nbi

  • Psychiatry Physician
  • Nashville, TN
  • NPI 1942785159
  Medicare reassignment NPD
• Cedar Recovery of Middle Tennessee, LLC

  dba CedarRx

  • Clinic Pharmacy
  • Lebanon, TN
  • NPI 1497458111
  NPD

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1225648009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 OLD FLORENCE RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384648401",
            "telephone_number": "931-762-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 OLD FLORENCE RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384648401",
            "telephone_number": "931-762-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "ANGELA",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "deactivation_date": "2021-05-25",
        "reactivation_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "27979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Curtis, APRN
• Andrew Thomas D'Ablaing, ND, DC
• Neison Walker Dabbs, RBT
• Trisha Ann Darling, LCSW
• Patricia Daubert-Hitchcock, LPC
• Alei Davis
• Christopher Chase Davis, NP-C
• Clarissa Davis
• Melanie Linda Davis, ED.D
• Dentistry for Children Lawrenceburg

• Psychiatric/Mental Health Nurse Practitioner in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.