Kurvis Antione Davis

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP08517 Issued in LA

Practice address

367 Carrollton Ave
Shreveport, LA 71105-3205

Phone

(318) 573-0604

NPI assigned

Sep 15, 2015

Last updated

Dec 30, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, LA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northstar Anesthesia III PAGroup PAC ID 0042630501, 393 clinicians

University Health Shreveport, LLCGroup PAC ID 7416207196, 64 clinicians

Willis Knighton Medical Center Inc Crna GroupGroup PAC ID 1759358674, 93 clinicians

Shreveport Sedation Associates, LLCGroup PAC ID 3173886736, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Lsu Health Shreveport Hospital, Shreveport, LA, CCN 190098

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shreveport Sedation Associates LLC

  • Certified Registered Nurse Anesthetist
  • Shreveport, LA
  • NPI 1770083164

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• University Health Shreveport LLC

  dba Ochsner LSU Health Shreveport

  • Nurse Practitioner
  • Shreveport, LA
  • NPI 1619443611
  Medicare reassignment Care Compare group NPD
• Willis Knighton Medical Center Inc. Crna Group

  dba Willis Knighton Anesthesia Services

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1174546097

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Northstar Anesthesia III PA

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1356968952

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Medical Center Anesthesiologists

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1669469748
  Medicare reassignment NPD
• Novus Louisiana Medical Professional Corporation

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1336926872

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  LA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• University Health Shreveport LLC

  dba Ochsner LSU Health Shreveport

  • Certified Registered Nurse Anesthetist
  • Shreveport, LA
  • NPI 1629544622

  Nurse Anesthetist, Certified Registered

  NPD
• Med-Trans Corporation

  • Air Ambulance
  • Foley, AL
  • NPI 1275084535
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University Health Shreveport LLC

  dba Ochsner LSU Health Shreveport

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1427536325
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1013386507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 CARROLLTON AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711053205",
            "telephone_number": "318-573-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 CARROLLTON AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711053205",
            "telephone_number": "318-573-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KURVIS",
        "middle_name": "ANTIONE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-15",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP08517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Clinton Davis
• Justin Davis
• Jutorrean Davis
• Kiauwanna Davis
• Kimiko Davis, RN
• Lakimberly Davis, LPN
• Lillie Davis
• Marlo Davis
• Mary J. Davis
• Matthew Davis, PTA

• Certified Registered Nurse Anesthetist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.