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STACI LYNN DAVENPORT M.D.
NPI 1295147007
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since May 28, 2014
1500 S MAIN ST, FHC, 4TH FLOOR, FORT WORTH, TX 76104(817) 702-1215 Get Directions Write a Review

NPPES record last updated: May 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Staci Lynn Davenport M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACI LYNN DAVENPORT M.D. (NPI 1295147007) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1295147007
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTACI LYNN DAVENPORTCredential: M.D.
Location Address1500 S MAIN ST, FHC, 4TH FLOORFort Worth, TX 76104-4917
Mailing Address1500 S Main St, Fhc, 4th FloorFort Worth, TX 76104-4917 · (817) 702-1215
Phone(817) 702-1215
Sole ProprietorYes
Enumeration DateMay 28, 2014
✔ NPI 1295147007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 S MAIN ST, Fort Worth, TX 76104
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN A LAZARINI MD
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (903) 353-2265
ALLYSON EVANS
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (801) 792-5267
DR. TREVOR A JOHNSON MD
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Tarrant County (817) 702-3431
DR. LELIA ERRETT WILLIAMS MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1244
MITCHELL JOHNSON
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1100
RIDDHI RANE MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-6500
DR. JOANE BAUMER M.D.
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Tarrant County (817) 335-1034
SHARYL WORKMAN PA
Physician Assistant
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 927-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Staci Davenport's NPI number?

The NPI number for Staci Davenport is 1295147007. It was assigned to this individual provider in the NPPES registry on May 28, 2014.

Where is Staci Davenport located?

Staci Davenport practices at 1500 S Main St Fhc, 4th Floor, Fort Worth, TX 76104. The listed phone number is (817) 702-1215.

What is Staci Davenport's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Staci Davenport was last updated on May 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.