Johanna Davenport, RDN
Dietitian, Registered in Manchester, Connecticut
1063284917- Practice location
- 105 Avery St, Manchester, CT 06042-1705
- Phone
- 860-617-8045
- Fax
- —
- Last updated
- October 13, 2026
Johanna Davenport is a Dietitian, Registered based in Manchester, CT. Johanna Davenport practices in Manchester, CT and has the professional credentials of RDN. The NPI Number for Johanna Davenport is 1063284917 and holds a License No. 002335 (CT). The current practice location address for Johanna Davenport is 105 Avery St, Manchester, CT 06042-1705 and can be reached out via phone at 860-617-8045.
Provider Profile Details
- NPI Number
- 1063284917
- Provider Name
- Johanna Davenport
- Credential
- RDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 105 Avery St, Manchester, CT 06042-1705
- Phone Number
- 860-617-8045
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Other Names
- Johanna Eichner, RDN (Former Name)
- Provider Enumeration Date
- October 24, 2023
- Last Update Date
- October 13, 2026
- Certification Date
- October 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 105 Avery St
Manchester, CT 06042-1705 - City
- Manchester
- State
- Connecticut
- Zip
- 06042-1705
- Phone Number
- 860-617-8045
Provider Business Mailing Address Details
- Address
- 105 Avery St
Manchester, CT 06042-1705 - City
- Manchester
- State
- CT
- Zip
- 06042-1705
- Phone Number
- 860-617-8045
License Information
- License Number
- 002335
- License State
- CT
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Manchester, CT
View all Dietitian, Registered providers in Manchester →- Aleksandra Dunnigan, RDN, CDCESDietitian, Registered · NPI 1760167134
- Brendan Coburn, RDDietitian, Registered · NPI 1720480965
- Bridget M LavoieDietitian, Registered · NPI 1831057082
- Catherine N St.charles, RDDietitian, Registered · NPI 1275867954
- Cornerstone Nutrition, LLCDietitian, Registered · NPI 1679984488
- Dr. Patrice A Hubert, PHD, RDNDietitian, Registered · NPI 1063140515
Frequently Asked Questions
What is the NPI number of Johanna Davenport, RDN?
The NPI number of Johanna Davenport, RDN is 1063284917. It was assigned on October 24, 2023 and is currently active in the NPPES registry.
What is the specialty of Johanna Davenport, RDN?
Johanna Davenport, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 002335.
Where does Johanna Davenport, RDN practice?
The practice location is 105 Avery St, Manchester, CT 06042-1705. The office can be reached at 860-617-8045 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063284917 directly on the NPPES registry website.