Michelle Davenport, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001203311 Issued in VA

Practice address

8721 Dorsey Rd
Richmond, VA 23237-2736

Phone

(804) 338-4776

NPI assigned

Jan 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shelly Davenport Other 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": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1679711147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8721 DORSEY RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232372736",
            "telephone_number": "804-338-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8721 DORSEY RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232372736",
            "telephone_number": "804-338-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "MICHELLE",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001203311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "DAVENPORT",
            "credential": "R.N.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert James Dausch, M.D.
• Susan M Dausch, MD
• Ladan Davallow Ghajar, MD
• Akshay V Dave, M.D.
• Dana Antoine Davenport
• Nathan J Davenport, ANP-C
• Taylor Davenport
• Allen James Davia, DDS
• David B Pemberton DDS PC
• David C Circeo, DDS PC

• Registered Nurse in Richmond, VA
• Providers in Richmond, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.