Davenport Adult Care Clinic

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R0044227 Issued in OK

Legal business name

DAVENPORT ADULT CARE CLINIC

Practice address

1609 N. Strong Blvd
Suite 300
McAlester, OK 74501-1146

Phone

(918) 423-3400

Fax

(918) 420-5051

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Kathy C Davenport, ARNPNPI 1073694717

Title

Owner

Phone

(918) 423-3400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathy C Davenport, ARNP-BC

  • Adult Health Nurse Practitioner
  • McAlester, OK
  • NPI 1073694717
  NPD (past) Authorized official

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689888299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 N. STRONG BLVD",
            "address_2": "SUITE 300",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745011146",
            "telephone_number": "918-423-3400",
            "fax_number": "918-420-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 N. STRONG BLVD",
            "address_2": "SUITE 300",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745011146",
            "telephone_number": "918-423-3400",
            "fax_number": "918-420-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENPORT ADULT CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-423-3400",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "R0044227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Randall Curtis
• Kasaundra Curtis
• Lisa Diane Dalton
• Janet Daniel
• Davenport Adult Care Clinic
• Kathy C Davenport, ARNP-BC
• David P Scroggins
• Kamileah Davis
• Liane M Davis, B.S.
• Mackenzie Ann Davis

• Adult Health Nurse Practitioner in McAlester, OK
• Providers in McAlester, OK by specialty
• Adult Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.