Linda Kristene Davenport, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29065 Issued in AL

Practice address

6900 N Pecos Rd
N Las Vegas, NV 89086-4400

Phone

(702) 791-9000

NPI assigned

Dec 5, 2005

Last updated

Aug 4, 2023By 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 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment NPD
• In Patient Care LLC

  • Family Medicine Physician
  • Thomasville, AL
  • NPI 1316176415
  NPD (past) Authorized official
• American Family Care, LLC

  dba American Family Care

  • Primary Care Clinic/Center
  • Oxford, AL
  • NPI 1700326022

  Family Medicine

  NPD
• Clarke County Family Medicine LLC

  • Family Medicine Physician
  • Thomasville, AL
  • NPI 1912156878
  NPD (past)
• Davenport Ferguson Physician Group PLLC

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1568446409
  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1255315198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4436 CITYSCAPE GLEN CT",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890844400",
            "telephone_number": "205-603-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-791-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "LINDA",
        "middle_name": "KRISTENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD29065",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "29065",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301070217",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51066871",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123122",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Damm Sr.
• David Daniels
• Billye Darbe, LCPC
• Joan Rachel Daseler, LCSW
• Joel B Dashut, DDS
• Amaiah Faith Davis
• Betty Davis
• Nina Davis
• Trevor Davis
• Jedell Monique Dawkins

• Family Medicine Physician in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.