Mary Davenport

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703011830 Issued in MI

Practice address

37520 Harper Ave Apt 107
Clinton TWP, MI 48036-3077

Phone

(313) 208-5882

NPI assigned

Jul 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1962855692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37520 HARPER AVE APT 107",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363077",
            "telephone_number": "313-208-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37520 HARPER AVE APT 107",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363077",
            "telephone_number": "313-208-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703011830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neha K Dalal Batra, D.D.S.
• Deborah A Dalton, O.T.
• Debra A. Damioli, N.P.
• Daniel Scheer DO PC
• Kimberly Ann Danta-Dahl
• Nikole Kristine Davidson, ACNP-BC
• Alexandra Marie Davies, DO
• Jennifer Davies, RN
• Heather Dawidowicz, O.D.
• De Marillac Counseling LLC

• Licensed Practical Nurse in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.