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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 (46 clinicians)

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
23085TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shoals NP Homecare, LLC Current Accepting new patients
Amg-Hillside LLC Current
since Nov 12, 2018
Accepting new patients
Remedy Healthcare LLC Current
since Sep 1, 2024
Accepting new patients
Inner Roots Behavioral Health PLLC Current
since May 10, 2026
Accepting new patients
Amg-Crockett, LLC Current
since Nov 7, 2017
Accepting new patients
Amg-Crockett, LLC Current
since Nov 7, 2017
Accepting new patients
Amg-Hillside LLC Current Accepting new patients
Remedy Behavioral Health, LLC Family Current
since Jun 1, 2024
Accepting new patients
Amg-Hillside LLC Current
since Nov 12, 2018
Accepting new patients
Serenus Senior Care Advisors PLLC Psychiatric/Mental Health Past
since Jun 21, 2020
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 6, 2026.

{
    "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

All providers in Florence, AL · Psychiatric/Mental Health Nurse Practitioner in Alabama

Sources for this page

Verify at the official NPI Registry.