Nikki Lee Davenport, FNP-C, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3-001771 Issued in AL

Practice address

306 N Military St Ste 102
Loretto, TN 38469-4000

Phone

(931) 223-6659

Fax

(931) 223-6660

NPI assigned

Oct 12, 2017

Last updated

Oct 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, AL2 enrollments

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 2

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 LLCGroup PAC ID 3375958853, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Remedy Behavioral Health, LLC

  dba Remedy Behavioral Health

  • Psychiatry Physician
  • Florence, AL
  • NPI 1013517317

  Family

  Medicare reassignment Care Compare group NPD
• Inner Roots Behavioral Health PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Loretto, TN
  • NPI 1437027976
  NPD Authorized official
• Amg-Crockett, LLC

  dba Advanced Neurology Associates

  • Family Medicine Physician
  • Lawrenceburg, TN
  • NPI 1326550732
  NPD
• Amg-Crockett, LLC

  dba Women's Health Clinic

  • Rural Health Clinic/Center
  • Lawrenceburg, TN
  • NPI 1891580858
  NPD
• Amg-Hillside LLC

  • Internal Medicine Physician
  • Pulaski, TN
  • NPI 1053734186
  NPD
• Amg-Hillside LLC

  dba Southern Tennessee Primary Care Lynnville

  • Rural Health Clinic/Center
  • Lynnville, TN
  • NPI 1407688369
  NPD
• Amg-Hillside LLC

  dba Giles County Orthopaedic and Joint Center

  • Orthopaedic Surgery Physician
  • Pulaski, TN
  • NPI 1710105499
  NPD
• Remedy Healthcare LLC

  • Internal Medicine Physician
  • Florence, AL
  • NPI 1477233476
  NPD
• Shoals NP Homecare, LLC

  • Home Health Agency
  • Town Creek, AL
  • NPI 1083178818
  NPD
• Serenus Senior Care Advisors PLLC

  dba Serenus Neuropsychiatry Associates

  • Psychiatric/Mental Health Nurse Practitioner
  • Florence, AL
  • NPI 1154860153
  NPD (past)

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1932610367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N MILITARY ST STE 102",
            "city": "LORETTO",
            "state": "TN",
            "postal_code": "384694000",
            "telephone_number": "931-223-6659",
            "fax_number": "931-223-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N MILITARY ST STE 102",
            "city": "LORETTO",
            "state": "TN",
            "postal_code": "384694000",
            "telephone_number": "931-223-6659",
            "fax_number": "931-223-6660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 S Locust St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356305510",
            "country_code": "US",
            "telephone_number": "256-320-7781",
            "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"
        }
    ],
    "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": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23085",
            "primary": false
        },
        {
            "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": "AL",
            "license": "3-001771",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "23085",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amg Crockett LLC (First Choice Health)
• Amg-Crockett, LLC (First Choice Health Loretto)
• Katisha Busby
• Crockett Hospital LLC (Loretto Family Care)
• Karen A Donovan, LPC
• Ecm Health Group LLC (Loretto Family Care)
• Ecm Health Group LLC
• Emily V Gillespie, MSN, FNP
• Amanda Glass

• Psychiatric/Mental Health Nurse Practitioner in Loretto, TN
• Providers in Loretto, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; 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.