Michael James Davenport, MA, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AT000877L Issued in PA

Practice address

3900 Woodland Ave
Philadelphia, PA 19104

Phone

(215) 823-4073

Fax

(215) 823-4585

NPI assigned

Aug 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326152893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 GROVE AVE",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311906",
            "telephone_number": "215-823-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WOODLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-823-4073",
            "fax_number": "215-823-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "MA, CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000877L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Lorraine Davenport-Bey, MS, CCHW
• Alexandria Davenport, PA-C
• Ameana Davenport
• Danielle Davenport, LSW
• Katherine Welch Davenport, DO
• Michael Stephen Davenport, M.D.
• Davetta Care LLC
• Davetta Care LLC
• Ashton Davey, DO
• Melissa J Davey, CRNP

• Audiologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Audiologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.