Active NPI
Shayla Davis, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 136816
- Practice address
- 3401 Civic Center Blvd
Philadelphia, PA 19104-4319 - Phone
- (215) 590-1000
- NPI assigned
- Nov 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN648705 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 136816 | PA | Primary |
Addresses
Primary practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
3549 Sunnyside Ave # 1
Philadelphia, PA 19129-1794
Phone (610) 334-3198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 Presidential Blvd
Bala Cynwyd, PA 19004-1110
Phone (267) 443-2040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN648705 | PA | MD | Pediatric Registered Nurse |
| 136816 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Anesthesiology Associates, LTD | Current | Accepting new patients | |
| Society Hill Anesthesia Consultants, PC | Current | Accepting new patients | |
| Children'S Anesthesiology Associates, LTD | Current | Accepting new patients | |
| Children'S Surgical Associates LTD | Past | Accepting new patients | |
| Childrens Health Care Associates of New Jersey PC | Past | Accepting new patients |
Locations
130 Presidential Blvd
Bala Cynwyd, PA 19004
Phone (267) 443-2040
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
3401 Civic Center Blvd
Ste 9329
Philadelphia, PA 19104
Phone (267) 425-9300
800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1427003219
-
- Pediatric Anesthesiology Physician
- Philadelphia, PA
- NPI 1689779480
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1942213525
-
- Pediatric Surgery Physician
- Philadelphia, PA
- NPI 1760562581
-
- Pediatrics Physician
- Voorhees, NJ
- NPI 1427152917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1043976749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3549 SUNNYSIDE AVE # 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291794",
"telephone_number": "610-334-3198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 CIVIC CENTER BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044319",
"telephone_number": "215-590-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SHAYLA",
"credential": "DNP, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-17",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "PA",
"license": "RN648705",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "136816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.