LACONDA DAVENPORT FNP
NPI 1629619770
Nurse Practitioner - Family in Tucson, AZ

Q: What is Laconda Davenport's NPI number?

The NPI number for Laconda Davenport is 1629619770. It was assigned to this individual provider in the NPPES registry on September 30, 2019.

Q: What is Laconda Davenport's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Laconda Davenport was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 September 30, 2019PECOS EnrolledAccepts Medicare Assignment

2720 S 6TH AVE, TUCSON, AZ 85713(520) 475-5418(520) 300-8034 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2026, Jul 26, 2022, Jun 10, 2022 and 2 more (5 updates tracked since 2019).

On this page

About Laconda Davenport Fnp NPPES

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

LACONDA DAVENPORT FNP (NPI 1629619770) is an individual family provider in Tucson, Arizona, licensed in Arizona (333031) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1629619770

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLACONDA DAVENPORTCredential: FNP

Location Address2720 S 6TH AVETucson, AZ 85713-4701

Mailing AddressPo Box 746093Atlanta, GA 30374-6093 · (520) 475-5418 · Fax (520) 300-8034

Phone(520) 475-5418

Fax(520) 300-8034

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 30, 2019

Last NPPES UpdateApril 3, 20265 updates tracked since enumeration

NPPES CertifiedApril 3, 2026

✔ NPI 1629619770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in AZ · 333031✔ Licensed in MS · 905253✔ Licensed in OK · 222822

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2720 S 6TH AVE, Tucson, AZ 85713

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1110 E Railroad StLong Beach, MS 39560-4625 · Phone (228) 678-7036

Location 211511 E 31st StTulsa, OK 74146-1908 · Phone (918) 400-7002 · Fax (539) 202-5130

Location 33820 N Oracle RdTucson, AZ 85705-3227 · Phone (520) 200-6707 · Fax (520) 300-8052

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, BridgeSpan Health Company, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laconda Davenport Fnp 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 ID4284020694

PECOS Enrollment IDI20250710001269, I20260206003306, I20260417002873

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.

Medicare Billing Reassignments

Medicare enrollment records show Laconda Davenport reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oak Street Health Physicians Group Of Arizona PLLC

91 mi

Primary Care

183 W APACHE TRL
Apache Junction, AZ 85120

Reassigned Medicare billing, Arizona enrollment
93 clinicians in this Medicare group

NPI 1063083590 (480) 618-0945

Oak Street Health Physicians Group Of Oklahoma, LLC

803 mi

Primary Care

2130 SW 59TH ST
Oklahoma City, OK 73119

Reassigned Medicare billing, Oklahoma enrollment
51 clinicians in this Medicare group

NPI 1538742051 (312) 733-9730

Uptown Providers PC

1,100 mi

Urgent Care

397 WARNER MILNE RD
Oregon City, OR 97045

Reassigned Medicare billing, Oregon and Washington enrollments
Also billed through NPI 1255102034 (Washington)
41 clinicians in this Medicare group

NPI 1770147357 (503) 305-6262

Altea Medical Oregon LLC

1,109 mi

Geriatric Medicine

127 NE 102ND AVE STE A
Portland, OR 97220

Reassigned Medicare billing, Oregon enrollment
48 clinicians in this Medicare group

NPI 1184451254 (971) 978-1268

Peacehealth Networks On Demand, LLC

1,111 mi

General Practice

11958 SW GARDEN PL
Tigard, OR 97223

Reassigned Medicare billing, Oregon enrollment
87 clinicians in this Medicare group

NPI 1023582178 (503) 684-8252

Fast Pace Mississippi, PLLC

1,282 mi

Rural Health

517 CITY AVE S
Ripley, MS 38663

Reassigned Medicare billing, Mississippi enrollment
463 clinicians in this Medicare group

NPI 1447769559 (662) 587-8206

Post Acute Medical PLLC

1,965 mi

Geriatric Medicine

6710 MALLERY DR
Lanham, MD 20706

Reassigned Medicare billing, Oregon enrollment
43 clinicians in this Medicare group

NPI 1730713025 (888) 408-7008

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

104 services57 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

99 services17 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

86 services41 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

44 services42 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

44 services41 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

37 services37 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

33 services33 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

28 services26 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

27 services24 patients

Detection test by immunoassay with direct visual observation for respiratory syncytial virus 87807

This is a test to identify the respiratory syncytial virus, a common cause of lung and respiratory tract infections. It uses immunoassay, a method that detects the virus through a reaction between the virus and specific antibodies. The result is visually observed.

20 services20 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

18 services18 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85713 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 2

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

DR. MED DAN MD

Family Medicine

2720 S 6TH AVE
TUCSON, AZ 85713

Pima County (520) 475-5418

MR. JAMES WARNER BALLARD PA-C

Physician Assistant

2720 S 6TH AVE
TUCSON, AZ 85713

Pima County (520) 475-5418

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 Laconda Davenport's NPI number?

The NPI number for Laconda Davenport is 1629619770. It was assigned to this individual provider in the NPPES registry on September 30, 2019.

Where is Laconda Davenport located?

Laconda Davenport practices at 2720 S 6th Ave, Tucson, AZ 85713. The listed phone number is (520) 475-5418.

What is Laconda Davenport's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Laconda Davenport enrolled in Medicare?

Yes. Laconda Davenport is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Laconda Davenport's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laconda Davenport reassigns Medicare benefits to 7 organizations: Oak Street Health Physicians Group Of Arizona PLLC (Apache Junction, AZ), Oak Street Health Physicians Group Of Oklahoma, LLC (Oklahoma City, OK), Uptown Providers PC (Oregon City, OR), Altea Medical Oregon LLC (Portland, OR), Peacehealth Networks On Demand, LLC (Tigard, OR) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laconda Davenport's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laconda Davenport accept?

Health plans from Ambetter Health, BridgeSpan Health Company, Cigna Healthcare, Moda Health Plan, Inc. and PacificSource Health Plans and 2 other insurers list Laconda Davenport as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Laconda Davenport was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.