Natasha Moneque Davenport

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Practice address

2220 Swansee Dr
Dallas, TX 75232-1422

Phone

(214) 207-0444

Fax

(469) 453-3306

NPI assigned

Apr 9, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Faith House HCS

  • Developmentally Disabled Services Day Training Agency
  • Dallas, TX
  • NPI 1316588999

  Day Training, Developmentally Disabled Services

  NPD (past) Authorized official

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1346566783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 ATKINS ST",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751048120",
            "telephone_number": "214-207-0444",
            "fax_number": "469-453-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 SWANSEE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752321422",
            "telephone_number": "214-207-0444",
            "fax_number": "469-453-3306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Terrace Dr",
            "address_purpose": "LOCATION",
            "city": "DeSoto",
            "state": "TX",
            "postal_code": "751156231",
            "country_code": "US",
            "telephone_number": "214-207-0444",
            "fax_number": "469-453-3306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7315 Woodshire Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752323843",
            "country_code": "US",
            "telephone_number": "214-207-0444",
            "fax_number": "469-453-3306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "NATASHA",
        "middle_name": "MONEQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandra Lyn Davenport, PA-C
• Cheryl V Davenport
• Daniel F Davenport, M.D.
• Emily Marie Davenport, P.A.
• Jill Davenport, M.D.
• Owen Rogers Davenport, MD
• Vernon Lee Davenport, LCSW
• Aldo Daversa, DC
• David a Haymes MD PA
• David a Whiting MD PA

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.