Active NPI
Hasani Leonard Davenport
- Student in an Organized Health Care Education/Training Program
- Redmond, OR
National Provider Identifier
1649129123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 852 SW 15TH St
Redmond, OR 97756-2507 - Phone
- (541) 848-0879
- NPI assigned
- Jan 27, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OR | Primary |
Addresses
Primary practice location
852 SW 15TH St
Redmond, OR 97756-2507
Mailing address
61365 Steens Mountain Loop
Bend, OR 97702-2865
Phone (541) 977-5554
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1649129123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61365 STEENS MOUNTAIN LOOP",
"city": "BEND",
"state": "OR",
"postal_code": "977022865",
"telephone_number": "541-977-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "852 SW 15TH ST",
"city": "REDMOND",
"state": "OR",
"postal_code": "977562507",
"telephone_number": "541-848-0879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT",
"first_name": "HASANI",
"middle_name": "LEONARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-27",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.