Individual provider Active NPI

Barbara A Davenport, LICENSED MIDWIFE

  • Lay Midwife
  • West Columbia, TX
National Provider Identifier
1508030354
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lay MidwifeTaxonomy code 175M00000X
License
97001 Issued in TX
Practice address
121 Draeger Dr
West Columbia, TX 77486-2619
Phone
(979) 345-7763
Fax
(979) 345-7763
NPI assigned
Apr 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lay Midwife 175M00000X 97001 TX Primary

Addresses

Primary practice location

121 Draeger Dr
West Columbia, TX 77486-2619

Mailing address

121 Draeger Dr
West Columbia, TX 77486-2619
Phone (979) 345-7763

Other names 1

  • Barbara G Davenport Other name

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

LicenseStateTypeSpecialty
97001TXMDLay Midwife

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1508030354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DRAEGER DR",
            "city": "WEST COLUMBIA",
            "state": "TX",
            "postal_code": "774862619",
            "telephone_number": "979-345-7763",
            "fax_number": "979-345-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DRAEGER DR",
            "city": "WEST COLUMBIA",
            "state": "TX",
            "postal_code": "774862619",
            "telephone_number": "979-345-7763",
            "fax_number": "979-345-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "BARBARA",
        "middle_name": "A",
        "credential": "LICENSED MIDWIFE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": "TX",
            "license": "97001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "DAVENPORT",
            "middle_name": "G",
            "credential": "LICENSED MIDWIFE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Columbia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.