Individual provider Active NPI

Hazel Charlene Davis, CRNA

  • Certified Registered Nurse Anesthetist
  • Newport, TN
National Provider Identifier
1154367233
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
114338 Issued in TN
Practice address
435 2ND Street
Newport, TN 37821-3703
Phone
(865) 777-0909
Fax
(865) 777-0910
NPI assigned
Jun 20, 2006
Last updated
Jan 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 114338 TN Primary
Certified Registered Nurse Anesthetist 367500000X 10522 TN

Addresses

Primary practice location

435 2ND Street
Newport, TN 37821-3703

Mailing address

12752 Kingston Pike
Ste E202
Knoxville, TN 37934-0948
Phone (865) 777-0909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524001225 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406846872 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifelinc Anesthesia VIII PLLCGroup PAC ID 3173984762, 155 clinicians

Practice addresses (Care Compare)

435 2ND St
Newport, TN 37821-3703
Phone (423) 625-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
10522TNMDPhysical Therapist
114338TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2008 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Cocke County Hma LLC Current Accepting new patients
Cocke County Hma LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
Nashville Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Feb 27, 2025 Accepting new patients
Northeast Tennessee Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2019 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Feb 27, 2025 Accepting new patients
Covenant Anesthesia Group, PC CurrentSince Nov 1, 2024 Accepting new patients
Lifelinc Anesthesia VIII PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients
Lifelinc Anesthesia II, PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Apogee Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2022 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesiologists Associated PC Past Accepting new patients
Nurse Anesthesia of North Carolina, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Upper Cumberland Anesthesia Associates, PC Nurse Anesthetist, Certified Registered PastSince Apr 19, 2020 Accepting new patients
Anesthesia and Pain Consultants,P.C. Nurse Anesthetist, Certified Registered PastSince Mar 1, 2000 Accepting new patients
Hamblen Anesthesia PC Nurse Anesthetist, Certified Registered PastSince Mar 13, 1995 Accepting new patients
Cocke County Hma, LLC Past Accepting new patients
Cocke County Hma, LLC Past Accepting new patients

Locations (25 of 26)

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

2515 Desales Ave
Chattanooga, TN 37404
Phone (423) 648-6672

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

467 N Whitney Ave
Cookeville, TN 38501
Phone (931) 528-5007

310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604
Phone (423) 434-3700

10461 Wallace Alley St
Kingsport, TN 37663
Phone (423) 279-1400

11440 Parkside Dr
Knoxville, TN 37934
Phone (865) 675-0688

12752 Kingston Pike
Ste E202
Knoxville, TN 37934
Phone (877) 277-9030

210 Fort Sanders West Blvd
#200
Knoxville, TN 37922
Phone (865) 276-2777

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

Dept 888089
Knoxville, TN 37995

Dept 888614
Knoxville, TN 37995

550 Fort Loudon Medical Center Dr
#C
Lenoir City, TN 37772

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

394 Harding Pl
Ste 100
Nashville, TN 37211
Phone (615) 234-0460

397 Wallace Rd
Ste 407
Nashville, TN 37211
Phone (615) 832-5530

434 4th St
Ste 305
Newport, TN 37821
Phone (423) 415-3282

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

629 Delozier Way
#100
Powell, TN 37849
Phone (865) 622-3442

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1154367233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12752 KINGSTON PIKE",
            "address_2": "STE E202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379340948",
            "telephone_number": "865-777-0909",
            "fax_number": "865-777-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 2ND STREET",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213703",
            "telephone_number": "865-777-0909",
            "fax_number": "865-777-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HAZEL",
        "middle_name": "CHARLENE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "114338",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "10522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.