Nancy Davis, CRNA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

041145437 Issued in IL

Practice address

2200 Fort Jesse Rd
Suite 240
Normal, IL 61761-6286

Phone

(309) 268-9300

Fax

(309) 268-0575

NPI assigned

Oct 3, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Atp Anesthesia LLC

  • Anesthesiology Physician
  • Aurora, IL
  • NPI 1982620449
  NPD (past)
• Decatur Memorial Hospital

  • General Acute Care Hospital
  • Decatur, IL
  • NPI 1164477725
  NPD (past)
• Decatur Memorial Hospital

  dba Professional Fees

  • Multi-Specialty Clinic/Center
  • Decatur, IL
  • NPI 1477276301
  NPD (past)
• McLean County Anesthesiology, LTD.

  • Pain Medicine (Anesthesiology) Physician
  • Bloomington, IL
  • NPI 1063448215
  NPD (past)
• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  NPD (past)

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1144217472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401W GROVE ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617642411",
            "telephone_number": "815-302-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FORT JESSE RD",
            "address_2": "SUITE 240",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616286",
            "telephone_number": "309-268-9300",
            "fax_number": "309-268-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NANCY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "041145437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Jill Das
• David M Skillrud MD LTD
• Brooke Davis, NP
• Jason Scott Davis, M.D.
• Laura Davis, RN
• Ryan T Davis, MS, ATC
• Dawn Leedie, LCPC. P.C. (Leedie Counseling Services, P.C.)
• Adeyosoye Dawodu, M.D.
• Dba Developing Melodies
• Leah Dean, CRNA

• Anesthesiology Physician in Normal, IL
• Providers in Normal, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.