Davonna Marie Kornagay Fletcher

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

1128 Yuba St
Marysville, CA 95901-4831

Phone

(530) 418-1001

NPI assigned

Oct 25, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Davonna Marie Fletcher Other name

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": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1285351858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 YUBA ST",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959014831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 YUBA ST",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959014831",
            "telephone_number": "530-418-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNAGAY FLETCHER",
        "first_name": "DAVONNA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVONNA",
            "last_name": "FLETCHER",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Peter Alan Kirkup
• Nicole Marie Kloncz
• Roberta Marie Klopf, PA-C
• Joanna Lee Knight, M.S.
• John Knoten Jr., RASI
• Stephen Kotarek, PA
• Amanda Nicole Ku, MS, CCC-SLP
• Piyush Kumar, MD
• Vincent Edward Kwok, DPT
• Cherisse Marie Lacoste, RN, PHN

• Rehabilitation Practitioner in Marysville, CA
• Providers in Marysville, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.