Tracy Lynn Davenport, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C02646 CRNA Issued in AR

Practice address

4301 W Markham St # 783
Little Rock, AR 72205-7101

Phone

(501) 686-8000

NPI assigned

Dec 2, 2006

Sex

Female

Sole proprietor

No

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 AR

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Gastroenterology Associates PLLCGroup PAC ID 1153685474, 28 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

54.59 of 100Reported as group

Quality

80.85

Promoting interoperability

0

Improvement activities

20

Cost

76.1

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 and National Provider Directory roles.

• Premier Gastroenterology Associates PLLC

  • Gastroenterology Physician
  • Little Rock, AR
  • NPI 1538663729
  Medicare reassignment Care Compare group NPD
• Arkansas Anesthesia Associates, PLLC.

  • Anesthesiology Physician
  • Benton, AR
  • NPI 1497023360
  Medicare reassignment NPD
• ASC Anesthesia, PLLC

  • Certified Registered Nurse Anesthetist
  • Pine Bluff, AR
  • NPI 1336509819

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• BP Anesthesia, PLLC

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
  • NPI 1942736285

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Central Arkansas Gastroenterology Anesthesia Services, LLC

  • Anesthesiology Physician
  • Little Rock, AR
  • NPI 1639678022
  Medicare reassignment NPD
• Gastro Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
  • NPI 1366700890

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Nurse Anesthetist Professionals Inc

  • Anesthesiology Physician
  • Conway, AR
  • NPI 1689661696
  Medicare reassignment NPD
• Cloud Nine Anesthesia PA

  • Anesthesiology Physician
  • Little Rock, AR
  • NPI 1790910255
  NPD (past) Authorized official
• Premier Gastroenterology Associates PLLC

  • Ambulatory Surgical Clinic/Center
  • Little Rock, AR
  • NPI 1073079596
  NPD

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1053489344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 PLANTATION DR",
            "city": "MAYFLOWER",
            "state": "AR",
            "postal_code": "721068420",
            "telephone_number": "501-442-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C02646 CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Davenport, APRN
• Hannah Davenport, APRN
• James Michael Davenport, D.D.S.
• Jodie Davenport, BCBA
• Shalana Davenport
• Barrett Daves
• David Cole, DDS and Arianna Cole, DDS, PLLC
• David F. Neale, M.D., PLLC
• David L. Evans, O.D., P.a.
• David Rath Nutrition, Inc.

• Certified Registered Nurse Anesthetist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.