Steven Allen Davenport, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

60646 Issued in NM

Practice address

301 S Lake St
Farmington, NM 87401-5619

Phone

(505) 278-8575

NPI assigned

Jan 16, 2020

Last updated

Oct 7, 2020By the provider in NPPES

Sex

Male

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

Enrolled in NM

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Kidney Care LLCGroup PAC ID 4587916747, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guardian Angel Home Health, Inc Home health agency, Farmington, NM, CCN 327184
• San Juan Regional Medical Center Inc Hospital, Farmington, NM, CCN 320005

Merit-based Incentive Payment System (MIPS)

Final score

22.8 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

76

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/0cf77109-e68f-4848-a530-1f53e0c2db32/

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.

• My Kidney Care, LLC

  • Nephrology Physician
  • Farmington, NM
  • NPI 1235611484
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Guardian Angel Home Health, Inc.

  dba Guardian Angel Home Health

  • Home Health Agency
  • Farmington, NM
  • NPI 1588742712
  Care Compare affiliation
• San Juan Regional Medical Center Inc

  dba SJRMC Inpatient Rehab Unit

  • Rehabilitation Hospital Unit
  • Farmington, NM
  • NPI 1326663592
  Care Compare affiliation
• San Juan Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Farmington, NM
  • NPI 1427058510
  Care Compare affiliation

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1659901825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N MOORE ST",
            "city": "BLOOMFIELD",
            "state": "NM",
            "postal_code": "874135580",
            "telephone_number": "505-419-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S LAKE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015619",
            "telephone_number": "505-278-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "STEVEN",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "60646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Daniele
• Anne E Daniels, CNP
• Ashlee Daniels
• Mark Steven Daniels, HAD 0657
• Kwadwo Darko-Yeboah, APRN
• David a. Dunworth, D.O., P.C.
• David W. McCray, M.D., PC
• Joseph Leland Davidson, M.D.
• Beth Lehr Davis, D.C.
• Janice A Davis

• Family Nurse Practitioner in Farmington, NM
• Providers in Farmington, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.