Active NPI
Carla Michelle Davenport, LAC
- Acupuncturist
- Lawrence, KS
National Provider Identifier
1568832202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 23-00063
- Practice address
- 1045 Kentucky St Apt 1
Lawrence, KS 66044-2948 - Phone
- (913) 286-8295
- NPI assigned
- Oct 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 23-00063 | KS | Primary |
Addresses
Primary practice location
1045 Kentucky St Apt 1
Lawrence, KS 66044-2948
Mailing address
1045 Kentucky St Apt 1
Lawrence, KS 66044-2948
Phone (913) 286-8295
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23-00063 | KS | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1568832202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 KENTUCKY ST APT 1",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660442948",
"telephone_number": "913-286-8295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 KENTUCKY ST APT 1",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660442948",
"telephone_number": "913-286-8295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT",
"first_name": "CARLA",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-06",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "KS",
"license": "23-00063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.