MR. RICHARD ALAN DAVENPORT SR.


Address: 102 Hartmann Drive, Suite G, #325, Lebanon, TN 37087-2516
Phone: 6152949911

MR. RICHARD ALAN DAVENPORT SR. (NPI# 1144334236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144334236
Entity Type Individual
Full Name MR. RICHARD ALAN DAVENPORT SR.
Credential C.R.N.A., M.S.
Practice Address 102 Hartmann Drive
Suite G, #325
Lebanon
TN 37087-2516
Mailing Address 102 Hartman Dr
Suite G,, #325
Lebanon
TN 37087-2569
Practice Telephone 6152949911
Practice Fax Number 6154440298
Mailing Telephone 6152949911
Mailing Fax Number 6154440298
Enumeration Date 2006-08-18
Last Update Date 2010-12-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
58326 TN Nursing Service Providers
N 367500000X Nurse Anesthetist, Certified Registered 9280506 FL Physician Assistants & Advanced Practice Nursing Providers
N 367500000X Nurse Anesthetist, Certified Registered 1-117383 AL Physician Assistants & Advanced Practice Nursing Providers
N 367500000X Nurse Anesthetist, Certified Registered 3266 SC Physician Assistants & Advanced Practice Nursing Providers
N 367500000X Nurse Anesthetist, Certified Registered 1483A KY Physician Assistants & Advanced Practice Nursing Providers
Y 367500000X Nurse Anesthetist, Certified Registered APN0000009 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN MEDICAID - NASHVILLE GEN. 36324201 01
TN MEDICARE - NASHVILLE GEN. 36324201 01

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Office Location

Street Address 102 HARTMANN DRIVE
SUITE G, #325
City LEBANON
State TN
Zip Code 37087-2516

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1326409285 Karina Lawrence Speech-Language Pathologist 1006 Keaton Street, Lebanon, TN 37087 2016-03-18
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093086472 Meredith Anne Dinger Nurse Anesthetist, Certified Registered 4th and Walnut Street, Lebanon, PA 17042-6165 2012-01-18
1215022348 Marion County Anesthesia Associates Pllc Nurse Anesthetist, Certified Registered 320 Loretto Road, Lebanon, KY 40033 2006-10-04
1023129848 Lynee K Porter Nurse Anesthetist, Certified Registered 912 Russell Drive, Lebanon, PA 17042 2006-08-31
1033151899 John Bratcher Nurse Anesthetist, Certified Registered 1411 Baddour Pakeway, Lebanon, TN 37087 2006-06-12
1891763330 John Lynwood Herrington Nurse Anesthetist, Certified Registered 1141 W Baddour Pkwy, Lebanon, TN 37087-2571 2006-03-10
1194705285 Kathleen Mattes-longo Nurse Anesthetist, Certified Registered 252 South 4th St, Lebanon, PA 17042 2006-01-17
1881680015 Michael L Heck Jr. Nurse Anesthetist, Certified Registered 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2005-09-22
1215923693 Charla L Schrimpe Nurse Anesthetist, Certified Registered 122 Geris Way, Lebanon, TN 37087-8313 2005-09-21
1427051846 Janice A Shore Nurse Anesthetist, Certified Registered 100 Hospital Dr, Lebanon, MO 65536-9210 2005-05-31
1619539871 Michel H Kamga Kengne Nurse Anesthetist, Certified Registered 1 Medical Center Dr, Anesthesiology, Lebanon, NH 03756-0001 2019-07-08
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City LEBANON
Zip Code 37087

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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