Hazel Charlene Davis, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Newport, TN
NPI 1154367233 · NPPES record last updated Jan 14, 2011
Key facts
- NPI
- 1154367233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 114338 (TN)
- Practice address
- 435 2ND Street
Newport, TN 37821-3703 - Phone
- (865) 777-0909
- Fax
- (865) 777-0910
- NPI assigned
- Jun 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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 PLLC
Practice addresses (Care Compare)
435 2ND St
Newport, TN 37821-3703
Phone (423) 625-2200
Hospital & facility affiliations
- Tennova Healthcare - Newport Medical Center
- Tennova Healthcare-Jefferson Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040524001225 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6406846872 | Reassigns benefits to 11 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10522 | TN | MD | Physical Therapist |
| 114338 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Anesthesia Group, PC | Current |
Accepting new patients | |
| Lifelinc Anesthesia VIII PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Cocke County Hma LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Apogee Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Lifelinc Anesthesia II, PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Nashville Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Cocke County Hma LLC | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Current |
Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Northeast Tennessee Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Resource Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Nurse Anesthesia of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Cocke County Hma, LLC | Past | Accepting new patients | |
| Upper Cumberland Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
| Cocke County Hma, LLC | Past | Accepting new patients | |
| Hamblen Anesthesia PC | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
| Anesthesia and Pain Consultants,P.C. | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
| Anesthesiologists Associated PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesiologists Associated PC | 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
467 N Whitney Ave
Cookeville, TN 38501
Phone (931) 528-5007
1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334
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
Dept 888089
Knoxville, TN 37995
210 Fort Sanders West Blvd
#200
Knoxville, TN 37922
Phone (865) 276-2777
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
Dept 888614
Knoxville, TN 37995
501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278
12752 Kingston Pike
Ste E202
Knoxville, TN 37934
Phone (877) 277-9030
11440 Parkside Dr
Knoxville, TN 37934
Phone (865) 675-0688
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 114338 | TN | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3151319 | Other | TN | BLUECARE |
| 3902431 | Medicaid | TN | |
| 3902437 | Medicaid | TN | |
| 3151319 | Other | TN | BLUE CROSS |
| P00813082 | Other | TN | RAILROAD MEDICARE PIN |
| 100031526 | Other | TN | PHP TENNCARE |
| 4195271 | Other | TN | BLUE CROSS/BLUE SHIELD |
| 430059022 | Other | TN | MEDICARE TRAVELERS |
Other providers in Newport, TN
- Beth Hammontree Dalton
- Janette Dalton
- Melissa Dalton
- Anton Christopher Daniel
- Jeff Edward Daniels
- Murrell Anthony Dawson
- Mandi Faye Deitz
- Christopher Brent Delph
- Chris Dewitt
- Constantino Diaz Miranda
All providers in Newport, 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 Jan 14, 2011. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.