Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAVACIA KENTORI DAVENPORT APRN, PMHNP-BC
NPI 1417759838
Nurse Practitioner - Psychiatric/Mental Health in Brandon, FL

Q: What is Javacia Davenport's NPI number?

The NPI number for Javacia Davenport is 1417759838. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Q: What is Javacia Davenport's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Javacia Davenport was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.

Active since March 26, 2025PECOS EnrolledAccepts Medicare Assignment

615 OAKFIELD DR, BRANDON, FL 33511(877) 653-5907 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 9, 2026, Mar 26, 2025 (2 updates tracked since 2025).

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About Javacia Kentori Davenport Aprn, Pmhnp-bc NPPES

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

JAVACIA KENTORI DAVENPORT APRN, PMHNP-BC (NPI 1417759838) is an individual psychiatric/mental health provider in Brandon, Florida, licensed in Florida (APRN11038354) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Tampa, and maintains a secondary practice location in Riverview.

NPPES Registry Identity

NPI1417759838

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJAVACIA KENTORI DAVENPORTCredential: APRN, PMHNP-BC

Location Address615 OAKFIELD DRBrandon, FL 33511-5714

Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · (833) 769-3524

Phone(877) 653-5907

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 26, 2025

Last NPPES UpdateSeptember 9, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2026

✔ NPI 1417759838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · APRN11038354

615 OAKFIELD DR, Brandon, FL 33511

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Secondary Practice Location 1

Location 19320 US Highway 301 SRiverview, FL 33578-6300 · Phone (656) 233-5300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Javacia Kentori Davenport Aprn, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577061407

PECOS Enrollment IDI20250811001571

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100173

Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

ANGIE MURRAY LMHC

Counselor (Mental Health)