P Praxis·MD
● Active Type 1 · Individual

Laura Beth Davenport, FNP-C

Nurse Practitioner·Tyler, TX· NPI 1679944946 · Enumerated 2015 · 10 years on NPI
Davenport is 1 of 147 nurse practitioner providers in Tyler and 1 of 5264 in Texas.
NPI age
10 years
Enumerated 2015-10-13
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5264 active nurse practitioner providers in Texas.

NPI age
10 years
↑ 2 yr above median (8 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-10Enumerated in NPPES
2015 2026

Where they practice

Practice location
520 Douglas Blvd
Tyler, TX 757028307
📞 9035931721
Mailing address
Po Box 846098
Dallas, TX 752846098
📞 9033246400

Additional practice locations

1 secondary location on file with NPPES.

Location 2
619 S Fleishel Ave Ste 327
Tyler, TX 757012019
📞 9036061400

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...
    TX license #AP129297 taxonomy 363L00000X

Identifiers

TypeValueNotes
01 (TX) 75-2616977-007 TRICARE
01 (TX) 8343NS BCBS
05 (TX) 352819204
01 (TX) 75-0818167-015 TRICARE
01 (TX) 850NY BCBS
01 (TX) 75-2616977-129 TRICARE
01 (TX) 8478NY BCBS
05 (TX) 352819201
01 (TX) 75-0818167-048 TRICARE
01 (TX) 75-2616977-028 TR
01 (TX) P01707526 RAIL ROAD MEDICARE
05 (TX) 352819202
05 (TX) 352819203
01 (TX) 75-2616977-002 TRICARE
01 (TX) 75-2616977-118 TRICARE
01 (TX) 75-0818167-022 TRICARE
01 (TX) 75-0818167-044 TRICARE
01 (TX) 75-1976930-005 TRICARE
01 (TX) 75-2616977-023 TRIUCARE
01 (TX) P01569953 RAIL ROAD MEDICARE
01 (TX) 75-2616977-001 TRICARE
01 (TX) 8946NY BCBS
01 (TX) P01707529 RAIL ROAD MEDICARE

Practice context

Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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