Davenport Adult and Geriatric Wellness

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

DAVENPORT ADULT AND GERIATRIC WELLNESS

Practice address

6701 Courtyard Rd
Chester, VA 23831-1430

Phone

(804) 564-6283

NPI assigned

Apr 21, 2020

Organization subpart

No

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

Authorized official

Name

Nathan J Davenport, NP

Title

President

Phone

(804) 564-6283

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1639799588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9536 ASHLEYVILLE TURN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231121690",
            "telephone_number": "804-564-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 COURTYARD RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311430",
            "telephone_number": "804-564-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENPORT ADULT AND GERIATRIC WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-564-6283",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA STATE MEDICAL LICENSE",
            "identifier": "0024169750",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• David R Ferry DDS PC
• David R. Beam and Associates,LTD
• David R. Ferry D.D.S., P.C.
• Fayeshon Davidson, MS, QMHP-A, QMHP-C

• Nurse Practitioner in Chester, VA
• Providers in Chester, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.