Active NPI
Kristi Davenport
- Family Nurse Practitioner
- Greensboro, NC
National Provider Identifier
1316744220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5021727
- Practice address
- 1331 N Elm St Ste 200
Greensboro, NC 27401-6304 - Phone
- (336) 274-6682
- Fax
- (336) 274-8097
- NPI assigned
- Feb 27, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5021727 | NC | Primary |
Addresses
Primary practice location
1331 N Elm St Ste 200
Greensboro, NC 27401-6304
Mailing address
PO Box 85378
Chicago, IL 60689-5378
Phone (336) 274-6682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5021727 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Radiology & Imaging LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1265469795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1316744220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 85378",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606895378",
"telephone_number": "336-274-6682",
"fax_number": "336-274-8097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 N ELM ST STE 200",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274016304",
"telephone_number": "336-274-6682",
"fax_number": "336-274-8097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT",
"first_name": "KRISTI",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-02-27",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5021727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.