Elizabeth Ann Davenport

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

734 Carpenter Park Apt a
Patuxent River, MD 20670-1308

Phone

(760) 371-5599

NPI assigned

Jun 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Elizabeth Ann Gonzalez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1538362041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 CARPENTER PARK APT A",
            "city": "PATUXENT RIVER",
            "state": "MD",
            "postal_code": "206701308",
            "telephone_number": "760-371-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 CARPENTER PARK APT A",
            "city": "PATUXENT RIVER",
            "state": "MD",
            "postal_code": "206701308",
            "telephone_number": "760-371-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "GONZALEZ",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deanna Cole, PSY.D., M.B.A.
• Traci Helene Cooksey, RPH
• Shane Crean
• Joyce K. Daftarian
• Cordon Daley, LCSW-C
• Alisha Deschenes, PA-C
• Bryan Dooley, MD
• Melissa Ann Dyson, DPT
• Bertrand Nkafu Andukwa Ebunji, MD
• Steven Elek IV

• Independent Duty Corpsman in Patuxent River, MD
• Providers in Patuxent River, MD by specialty
• Independent Duty Corpsman in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.