Individual provider Active NPI

Kati Davenport, APRN,BC

  • Nurse Practitioner
  • Harker Heights, TX
National Provider Identifier
1972519809
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP115103 Issued in TX
Practice address
800 W Central Texas Expy Ste 205
Harker Heights, TX 76548-1996
Phone
(254) 618-1080
Fax
(254) 618-1065
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 102083 OK
Nurse Practitioner 363L00000X 641318 TX
Nurse Practitioner 363L00000X AP115103 TX Primary

Addresses

Primary practice location

800 W Central Texas Expy Ste 205
Harker Heights, TX 76548-1996

Mailing address

1908 N Laurent St Ste 410
Victoria, TX 77901-5469
Phone (361) 572-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20141215000205 TX Practitioner - Nurse Practitioner 6002700762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHP Texas MD Services, IncGroup PAC ID 8527222108, 36 clinicians

Practice addresses (Care Compare)

800 W Central Texas Expy
Suite 205
Harker Heights, TX 76548-1996
Phone (254) 457-3743

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
641318TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LHP Texas MD Services Inc CurrentSince Sep 1, 2014 Accepting new patients
Solutions Practice Management Past Accepting new patients
Priti Lakhani, DPM, PA Past Accepting new patients

Locations

800 W Central Texas Expy
Ste 205
Harker Heights, TX 76548
Phone (254) 457-3743

800 W Central Texas Expy
Harker Heights, TX 76548
Phone (254) 618-4933

Interoperability endpoints

  • Direct secure messaging: kdavenport263928@ahs.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1972519809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N LAURENT ST STE 410",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015469",
            "telephone_number": "361-572-0333",
            "fax_number": "361-371-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CENTRAL TEXAS EXPY STE 205",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481996",
            "telephone_number": "254-618-1080",
            "fax_number": "254-618-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "KATI",
        "credential": "APRN,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "102083",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "641318",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP115103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

Verify at the official NPI Registry.