Heather Davenport, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

84587 Issued in WV

Practice address

200B Prestige Park Dr
Hurricane, WV 25526-8418

Phone

(304) 202-3864

NPI assigned

Oct 7, 2022

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

• Heather Wright Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1619692183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200B PRESTIGE PARK DR",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255268418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200B PRESTIGE PARK DR",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255268418",
            "telephone_number": "304-202-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "HEATHER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WV",
            "license": "84587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "WRIGHT",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Custom Script Pharmacy
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• Tara Leanne Daniels, CRNA
• Daquest Care Transport LTD Co.
• Kiera Daugherty, DPT, PT
• Payton Davenport
• Suzanna L Davenport
• Jeanette M Davis
• John Dylan Davis, M.D.
• Olivia Gwen Davis, DO

• Home Health Registered Nurse in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Home Health Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.