Katie L Davenport

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2700 S Roan St
Suite 425
Johnson City, TN 37601-7556

Phone

(423) 232-6281

Fax

(423) 232-6282

NPI assigned

Sep 18, 2013

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

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": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1568898963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S ROAN ST",
            "address_2": "SUITE 425",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376017556",
            "telephone_number": "423-232-6281",
            "fax_number": "423-232-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S ROAN ST",
            "address_2": "SUITE 425",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376017556",
            "telephone_number": "423-232-6281",
            "fax_number": "423-232-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "KATIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian A Darling, M.D.
• Brent Daugherty, PHARM.D.
• Daniel Cameron Daugherty
• Devorah Daught
• Julia E Davenport, FNP
• Mary Jo Davenport, PT, MS, PHD
• Rachel Davenport, NP
• Samuel V Davenport, CRNA
• Carol L Davidson, M.S., CCC-SLP
• Kaydee Louise Davidson, OTR/L

• Case Manager/Care Coordinator in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Case Manager/Care Coordinator in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.