Laconda Davenport, FNP in Tucson, AZ - Medicare Nurse Practitioner

Laconda Davenport, FNP is a medicare enrolled "Nurse Practitioner - Family" in Tucson, Arizona. She graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Oak Street Health Physicians Group Of Oklahoma, Llc, Uptown Providers Pc, Post Acute Medical Pllc, Altea Medical Oregon Llc, Uptown Providers Pc, Oak Street Health Physicians Group Of Arizona Pllc, Peacehealth Networks On Demand Llc and her current practice location is 2720 S 6th Ave, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 475-5418.

Laconda Davenport is licensed to practice in Arizona (license number 333031) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629619770.

Contact Information

	Laconda Davenport, FNP
	2720 S 6th Ave, Tucson, AZ 85713-4701
	(520) 475-5418
	(520) 300-8034

Map and Direction

Provider's Profile

Full Name	Laconda Davenport
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	2720 S 6th Ave, Tucson, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Laconda Davenport graduated from nursing school in 2011

NPI Data:

NPI Number: 1629619770
Provider Enumeration Date: 09/30/2019
Last Update Date: 04/03/2026

Medicare PECOS Information:

PECOS PAC ID: 4284020694
Enrollment ID: I20250610004180

Medical Identifiers

Medical identifiers for Laconda Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629619770	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	905253 (Mississippi)	Secondary
363LF0000X	Nurse Practitioner - Family	222822 (Oklahoma)	Secondary
363LF0000X	Nurse Practitioner - Family	333031 (Arizona)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oak Street Health Physicians Group Of Oklahoma, Llc	1355746769	34
Uptown Providers Pc	4284891243	44
Post Acute Medical Pllc	5193156115	375
Altea Medical Oregon Llc	7315470895	13
Uptown Providers Pc	4284891243	44
Oak Street Health Physicians Group Of Arizona Pllc	3274939988	76
Peacehealth Networks On Demand Llc	1759731383	207

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Laconda Davenport allows following entities to bill medicare on her behalf.

Entity Name	Oak Street Health Physicians Group Of Oklahoma, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538742051 PECOS PAC ID: 1355746769 Enrollment ID: O20210824001241

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laconda Davenport is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Laconda Davenport, FNP Po Box 746093, Atlanta, GA 30374-6093 Ph: (520) 475-5418	Laconda Davenport, FNP 2720 S 6th Ave, Tucson, AZ 85713-4701 Ph: (520) 475-5418

Reviews and Comments

Nurse Practitioner Nurses in Tucson, AZ

Patricia Hiebert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3870 W River Rd Ste 126, Tucson, AZ 85741 Phone: 520-219-6616 Fax: 520-742-6187
Emily Snavely De La Rosa, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 707 N Alvernon Way, Ste. 101, Tucson, AZ 85711 Phone: 520-694-1640
Mrs. Hazel Echavez Mercado, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10975 E White Sage Dr, Tucson, AZ 85747 Phone: 520-203-7531 Fax: 520-437-0390
Mr. Daniel Leon Ross Jr., NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 W Orange Grove Rd Unit A16, Tucson, AZ 85704 Phone: 520-909-3844 Fax: 520-308-5511
Mrs. Diana Verdugo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 N Craycroft Rd, Tucson, AZ 85711 Phone: 520-519-8550 Fax: 520-747-3269
Neva Corbell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1951 N Wilmot Rd, Bldg 4, Tucson, AZ 85712 Phone: 520-318-1114 Fax: 520-318-4693
Holly Marie Hill, MSN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2802 E District St, Tucson, AZ 85714 Phone: 520-584-5820 Fax: 520-514-1514

Laconda Davenport, FNP - Medicare Nurse Practitioner in Tucson, AZ