Elaine Blanche Davenport, M.S. SPEECH PATHOLO

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

5905 O St
Lincoln, NE 68510-2235

Phone

(402) 436-1000

NPI assigned

Dec 10, 2012

Last updated

Jan 26, 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 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1437494952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102235",
            "telephone_number": "402-436-1000",
            "fax_number": "402-330-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102235",
            "telephone_number": "402-436-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13336 Industrial Rd",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681371124",
            "country_code": "US",
            "telephone_number": "402-330-3211 x119",
            "fax_number": "402-330-5970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "ELAINE",
        "middle_name": "BLANCHE",
        "name_prefix": "Miss",
        "credential": "M.S.  SPEECH PATHOLO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "1274",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47065477700",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "Y",
            "affiliationName": "Lincoln Public Schools",
            "address_1": "5905 O St",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685102235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lincoln",
            "affiliation": "N",
            "address_1": "5905 O St",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685102235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarwar Shawqi Darweesh
• Sherwan S Darweesh
• Rebecca Arlene Dasher
• Alexandra Rose Daub
• Kelsey Lynn Daugherty, DNP, RN, PMHNP-BC
• Holly Jo Davenport
• Yvonne K Davenport, M.D.
• Heather Davey, RN
• David a Bigler, M.D. (Gateway Dermatology)
• David J Rallis DDS MD Oral and Maxillofacial Surgery, PC

• Attendant Care Provider in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Attendant Care Provider in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.