Nikki Lee Davenport, FNP-C, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Florence, AL
NPI 1932610367 · NPPES record last updated Aug 6, 2026
Key facts
- NPI
- 1932610367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 3-001771 (AL)
- Practice address
- 120 S Locust St
Florence, AL 35630-5510 - Phone
- (256) 320-7781
- NPI assigned
- Oct 12, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Remedy Behavioral Health LLC
Practice addresses (Care Compare)
1609 Mockingbird CT
Suite B
Florence, AL 35630-7511
Phone (256) 320-7778
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171219003247 | TN | Practitioner - Nurse Practitioner | 1658639786 | |
| I20240620000138 | AL | Practitioner - Nurse Practitioner | 1658639786 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23085 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoals NP Homecare, LLC | Current | Accepting new patients | |
| Amg-Hillside LLC | Current |
Accepting new patients | |
| Remedy Healthcare LLC | Current |
Accepting new patients | |
| Inner Roots Behavioral Health PLLC | Current |
Accepting new patients | |
| Amg-Crockett, LLC | Current |
Accepting new patients | |
| Amg-Crockett, LLC | Current |
Accepting new patients | |
| Amg-Hillside LLC | Current | Accepting new patients | |
| Remedy Behavioral Health, LLC | Family | Current |
Accepting new patients |
| Amg-Hillside LLC | Current |
Accepting new patients | |
| Serenus Senior Care Advisors PLLC | Psychiatric/Mental Health | Past |
Accepting new patients |
Locations
1609 Mockingbird Ct
Ste B
Florence, AL 35630
Phone (256) 320-7778
158 Heathrow Dr
Florence, AL 35633
Phone (256) 284-1320
120 S Locust St
Florence, AL 35630
Phone (256) 320-7781
1001 S Jackson Hwy
Sheffield, AL 35660
Phone (256) 320-7778
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
123 N Main St
Ste 107
Loretto, TN 38469
Phone (931) 223-6659
106 S Military St
#B
Loretto, TN 38469
Phone (931) 853-4622
501 Union St
Ste 545
Nashville, TN 37219
Phone (615) 669-2873
501 Union St
Ste 400
Nashville, TN 37219
Phone (740) 994-1811
1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514
181 Bre Ave
Ste C
Pulaski, TN 38478
Phone (931) 363-3086
204 Hillside Dr
Pulaski, TN 38478
Phone (931) 363-3514
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 23085 | TN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3-001771 | AL | Yes |
| Family Nurse Practitioner | 363LF0000X | 3-001771 | AL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 23085 | TN |
Addresses
Primary practice location
120 S Locust St
Florence, AL 35630-5510
Mailing address
501 Union St Ste 545
Nashville, TN 37219-1876
Phone (931) 223-6659
Other practice location 1
314 Church St
Loretto, TN 38469-2145
Phone (931) 242-9298
Other practice location 2
106 S Military St
Loretto, TN 38469-2100
Phone (931) 853-4622
Other practice location 3
501 Union St STE 400
Nashville, TN 37219-1872
Phone (931) 223-6659
Other practice location 4
314 Church St
Loretto, TN 38469-2145
Phone (931) 242-9298
Other practice location 5
123 N Main St Ste 107
Loretto, TN 38469-2356
Phone (931) 223-6659
NPI Registry JSON
{
"created_epoch": "1507766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1932610367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 UNION ST STE 545",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372191876",
"telephone_number": "931-223-6659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S LOCUST ST",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356305510",
"telephone_number": "256-320-7781"
}
],
"practiceLocations": [
{
"address_1": "314 Church St",
"address_purpose": "LOCATION",
"city": "Loretto",
"state": "TN",
"postal_code": "384692145",
"country_code": "US",
"telephone_number": "931-242-9298",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "106 S Military St",
"address_purpose": "LOCATION",
"city": "Loretto",
"state": "TN",
"postal_code": "384692100",
"country_code": "US",
"telephone_number": "931-853-4622",
"fax_number": "931-853-4621",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Union St STE 400",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372191872",
"country_code": "US",
"telephone_number": "931-223-6659",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "314 Church St",
"address_purpose": "LOCATION",
"city": "Loretto",
"state": "TN",
"postal_code": "384692145",
"country_code": "US",
"telephone_number": "931-242-9298",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "123 N Main St Ste 107",
"address_purpose": "LOCATION",
"city": "Loretto",
"state": "TN",
"postal_code": "384692356",
"country_code": "US",
"telephone_number": "931-223-6659",
"fax_number": "931-223-6660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVENPORT",
"first_name": "NIKKI",
"middle_name": "LEE",
"credential": "FNP-C, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-12",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "23085",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AL",
"license": "3-001771",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "3-001771",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "23085",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AL
- Steven L Darby II
- Wendy A Darby
- Kaylee Niccole Darty
- James Patrick Daugherty
- Anna Leigh Davenport
- David Anakwenze MD Psychiatric Outreach LLC
- Ashley Davidson
- Chelsea Jane Davis
- Christine Ann Davis
- Katelyn Davis
All providers in Florence, AL · Psychiatric/Mental Health Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.