NIKKI LEE DAVENPORT (FNP-C, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1932610367

NIKKI LEE DAVENPORT (FNP-C, PMHNP-BC) is a healthcare provider. based in Loretto, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C, PMHNP-BC. They hold a License No. 23085 (TN). The NPI Number for NIKKI LEE DAVENPORT (FNP-C, PMHNP-BC) is 1932610367

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
NIKKI LEE DAVENPORT (FNP-C, PMHNP-BC)
NPI
1932610367
Phone
(931) 242-9298
Address
314 CHURCH ST
Enumeration Date
12 October 2017
Last Update Date
24 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2563207778
Graduation Year
2017 (9 years ago)
PAC ID
1658639786
Group Practice PAC ID
3375958853
Professional Enrollment ID
I20240620000138
Address ID
AL356307511FL1609XCTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:8State licenses:2Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for NIKKI LEE DAVENPORT (FNP-C, PMHNP-BC)

  • 314, Church Street, Loretto, Lawrence County, Tennessee, 38469, United States

    LORETTO, TN 384692145

    Phone: (931) 242-9298

    Type: Mailing

  • 314 Church St

    Loretto, TN 384692145

    Phone: (931) 242-9298

    Type: Location

  • 106 S Military St

    Loretto, TN 384692100

    Phone: (931) 853-4622

    Fax: (931) 853-4621

    Type: Location

  • 501 Union St STE 400

    Nashville, TN 372191872

    Phone: (931) 223-6659

    Type: Location

  • 106, South Military Street, Loretto, Lawrence County, Tennessee, 38469, United States

    LORETTO, TN 384692100

    Phone: (931) 853-4622

    Fax: (931) 853-4621

    Type: Location

  • 501 UNION ST STE 545

    NASHVILLE, TN 372191876

    Phone: (931) 223-6659

    Type: Mailing

  • 120 S LOCUST ST

    FLORENCE, AL 356305510

    Phone: (256) 320-7781

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $472.

Total Amount is formed as General ($472) + Research ($0) + Ownership ($0) = $472.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($168).

Total Amount

$472

General + Research + Ownership

Payments

13

Total payment records

General Amount

$472

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171219003247INurse PractitionerTNTBD
I20240620000138INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38469)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375958853View full group profile
NameSpecialtyState
Nurse PractitionerAL
Clinical Social WorkerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Mental Health CounselorAL
Nurse PractitionerAL
Nurse PractitionerAL
Clinical Social WorkerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What is NIKKI LEE DAVENPORT (FNP-C, PMHNP-BC)'s NPI number?
NIKKI LEE DAVENPORT (FNP-C, PMHNP-BC)'s NPI is 1932610367 — the number used across U.S. healthcare to identify this provider.
Would NIKKI LEE DAVENPORT (FNP-C, PMHNP-BC) appear as active to a payer?
You can treat NIKKI LEE DAVENPORT (FNP-C, PMHNP-BC) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with NIKKI LEE DAVENPORT (FNP-C, PMHNP-BC)?
NIKKI LEE DAVENPORT (FNP-C, PMHNP-BC)'s record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is NIKKI LEE DAVENPORT (FNP-C, PMHNP-BC) located near Loretto?
NIKKI LEE DAVENPORT (FNP-C, PMHNP-BC) currently maps to Loretto, Tennessee in this extract.
Does NIKKI LEE DAVENPORT (FNP-C, PMHNP-BC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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