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

Mrs. Mardi L Davenport, NP

Individual provider Family Nurse Practitioner · NPI 1609182583

Mrs. Mardi L Davenport, NP is a Nurse Practitioner in Surprise, Arizona. Qualified in 2009, 17 years ago. Practices with Pinnacle Family Medicine PLC, a 10-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
17
Licensed in
AZ
In the registry since
2010
Specialties on file
2
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

15474 W Greenway Rd
Surprise, AZ 85374-4348
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 — (480) 301-8000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP3719 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence AP3719 (AZ)

Record details

NPI number1609182583
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 30, 2010
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Pinnacle Family Medicine Plc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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