NPI age
16 years
Enumerated 2009-06-04
● Active
Type 1 · Individual
Hyrum Davenport, NP
Davenport is 1 of 3 nurse practitioner providers in Chubbuck and 1 of 658 in Idaho.
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 658 active nurse practitioner providers in Idaho.
NPI age
16 years
↑ 8 yr above median (8 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-06Enumerated in NPPES
2009
2026
Where they practice
Practice location
4650 Hawthorne Rd Ste 3b
Chubbuck, ID 832022376
Mailing address
Po Box 2516
Pocatello, ID 832062516
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Practice context
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.