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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICAID - NASHVILLE GEN. | 36324201 | 01 |
| TN | MEDICARE - NASHVILLE GEN. | 36324201 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942375076 | Richard K Davenport | Counselor | 8609 2nd Ave, Suite 201b, Silver Spring, MD 20910-3360 | 2006-11-22 |
| 1811999063 | Richard D Davenport | Ophthalmology | 2424 S 90th St, Ste 506, West Allis, WI 53227-2455 | 2005-06-01 |
| 1205276821 | Richard Davenport II | Counselor | 201 S Market St, Ottumwa, IA 52501-2924 | 2013-06-27 |
| 1760612469 | Richard Austin Davenport | Massage Therapist | 285 Spring St, Tacoma, WA 98250 | 2009-07-16 |
| 1477624732 | Richard Wolfgang Davenport | Dentist | 521 N 1st Ave, Stayton, OR 97383-1703 | 2006-11-10 |
| Street Address |
102 HARTMANN DRIVE SUITE G, #325 |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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. |
| 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 |
| Find all providers in LEBANON | ||||
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| 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.