Individual provider Active NPI

Courtney Davenport, CRNP

  • Family Nurse Practitioner
  • Daphne, AL
National Provider Identifier
1578348124
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0614437 Issued in AL
Practice address
6883 US Highway 90 Ste 101
Daphne, AL 36526-9611
Phone
(888) 410-0317
NPI assigned
Aug 30, 2023
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0614437 AL Primary

Addresses

Primary practice location

6883 US Highway 90 Ste 101
Daphne, AL 36526-9611

Mailing address

20833 Nobleman Dr
Fairhope, AL 36532-4654
Phone (251) 604-4806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231021000116 AL Practitioner - Nurse Practitioner 0244686673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accurx Infusion Center LLCGroup PAC ID 6305101908, 6 clinicians

Practice addresses (Care Compare)

6883 US Hwy 90
Suite 101
Daphne, AL 36526-9611
Phone (888) 410-0317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F0614437ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Accurx Infusion Center, LLC CurrentSince Sep 19, 2023 Accepting new patients
Obelisk Healthcare Past Accepting new patients

Locations

6883 US Highway 90
Ste 101
Daphne, AL 36526
Phone (205) 769-6300

2826 Ross Clark Cir
Ste 105
Dothan, AL 36301
Phone (888) 410-0317

4000 Meadow Lake Dr
Ste 125
Hoover, AL 35242
Phone (800) 410-0317

4700 Whitesburg Dr SW
Ste 225
Huntsville, AL 35802
Phone (256) 517-9918

4705 Woodmere Blvd
Montgomery, AL 36106
Phone (334) 558-0262

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1578348124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20833 NOBLEMAN DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365324654",
            "telephone_number": "251-604-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6883 US HIGHWAY 90 STE 101",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269611",
            "telephone_number": "888-410-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "COURTNEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F0614437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.