Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hyrum Davenport, NP

Individual provider Nurse Practitioner · NPI 1255567210

Hyrum Davenport, NP is a Nurse Practitioner in Chubbuck, Idaho. Qualified in 2007, 19 years ago. Practices with Canvi Behavioral Health PLLC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
19
Licensed in
ID
In the registry since
2009
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4650 Hawthorne Rd Ste 3B
Chubbuck, ID 83202-2376
Phone: (208) 252-5621
Fax: (208) 648-4167
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP-913A (ID)

Record details

NPI number1255567210
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 4, 2009
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Canvi Behavioral Health Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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