Richard Alan Davenport Sr., C.R.N.A., M.S.
Individual provider Active NPI Certified Registered Nurse Anesthetist · Lebanon, TN
NPI 1144334236 · NPPES record last updated Dec 9, 2010
Key facts
- NPI
- 1144334236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- APN0000009203 (TN)
- Practice address
- 102 Hartmann Drive
Suite G, #325
Lebanon, TN 37087-2516 - Phone
- (615) 294-9911
- Fax
- (615) 444-0298
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040519001309 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7113918178 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58326 | TN | MD | Critical Care Medicine Registered Nurse |
| 1-117383 | AL | MD | Certified Registered Nurse Anesthetist |
| 9280506 | FL | MD | Certified Registered Nurse Anesthetist |
| 1483A | KY | MD | Certified Registered Nurse Anesthetist |
| APN0000009203 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nashville General Hospital | Current |
Accepting new patients | |
| Mid South Anesthesia PC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Nashville General Hospital | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Oral Surgical Institute, P.C. | Current |
Accepting new patients | |
| Oral Surgical Institute, P.C. | Past | Accepting new patients | |
| Anesthesia Care Enterprises, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Metropolitan Hospital Authority | Past | Accepting new patients | |
| Anesthesia Services of Middle Tennessee, PLLC | Past |
Accepting new patients | |
| Anesthesia Services of Wilson County PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia & Pain Specialists of Bowling Green PLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Upper Cumberland Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
Locations
125 Cool Springs Blvd
Ste 120
Franklin, TN 37067
Phone (615) 778-0902
2817 West End Ave
Ste 126
Nashville, TN 37203
Phone (901) 596-6238
1818 Albion St
Nashville, TN 37208
Phone (615) 341-4000
322 22nd Ave N
Nashville, TN 37203
Phone (615) 294-9911
500 28th Ave N
Ste 100
Nashville, TN 37209
Phone (615) 329-4401
324 22nd Ave N
Nashville, TN 37203
Phone (615) 329-4401
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 58326 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | APN0000009203 | TN | Yes |
| Certified Registered Nurse Anesthetist | 367500000X | 1483A | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | 3266 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 1-117383 | AL | |
| Certified Registered Nurse Anesthetist | 367500000X | 9280506 | FL |
Addresses
Primary practice location
102 Hartmann Drive
Suite G, #325
Lebanon, TN 37087-2516
Mailing address
102 Hartman Dr
Suite G,, #325
Lebanon, TN 37087-2569
Phone (615) 294-9911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36324201 | Other | TN | MEDICAID - NASHVILLE GEN. |
| 36324201 | Other | TN | MEDICARE - NASHVILLE GEN. |
Other providers in Lebanon, TN
- Janet Daily
- Charles Edward Daley III
- Darryl Champion
- Hilary Daugherty
- Kaylee Nicole Davenport
- Christin Davis
- Edwin Clyde Davis III
- Heather Lynn Davis
- James V Davis
- Jennifer Leigh Davis
All providers in Lebanon, TN · Certified Registered Nurse Anesthetist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.