Individual provider Active NPI

Kelli L. Davenport, AUD

  • Audiologist-Hearing Aid Fitter
  • Hanford, CA
National Provider Identifier
1942224647
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU2649 Issued in CA
Practice address
860 W 7TH St
Hanford, CA 93230-4926
Phone
(559) 585-7252
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AU2649 CA Primary

Addresses

Primary practice location

860 W 7TH St
Hanford, CA 93230-4926

Mailing address

2311 Hillman St Apt 226
Tulare, CA 93274-8069
Phone (559) 827-5870

Other identifiers 2

IdentifierTypeStateIssuer
134946OtherWALABOR & INDUSTRY
8338337MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090909000715 CA Practitioner - Qualified Audiologist 5597810820 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

125 Mall Dr
Hanford, CA 93230-5794

1524 W Lacey Blvd
Suite 101
Hanford, CA 93230-5990
Phone (559) 583-4695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Sep 8, 2025 Accepting new patients
Sequoia Healthcare Alliance CurrentSince Jun 25, 2025 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Sep 8, 2025 Accepting new patients
Mike S. Shin M.D. Inc Past Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

125 Mall Dr
Ste 307
Hanford, CA 93230
Phone (559) 582-8791

590 W Putnam Ave
Ste 9
Porterville, CA 93257
Phone (559) 784-5337

585 W Putnam Ave
Porterville, CA 93257
Phone (559) 359-4415

590 W Putnam Ave
Porterville, CA 93257
Phone (559) 781-3700

390 Pearson Dr
Porterville, CA 93257
Phone (559) 781-3700

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1942224647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 HILLMAN ST APT 226",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932748069",
            "telephone_number": "559-827-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 W 7TH ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304926",
            "telephone_number": "559-585-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "KELLI",
        "middle_name": "L.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU2649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "134946",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8338337",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.