Active NPI
Lorene Davidson, CRNA
- Registered Nurse
- Richmond, VA
National Provider Identifier
1194713974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0001082689
- Practice address
- 8700 Stony Point Pkwy Ste 100
Richmond, VA 23235-1968 - Phone
- (804) 775-4500
- Fax
- (804) 545-0758
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001082689 | VA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 0024082689 | VA |
Addresses
Primary practice location
8700 Stony Point Pkwy Ste 100
Richmond, VA 23235-1968
Mailing address
5855 Bremo Rd
Suite 100 North
Richmond, VA 23226-1926
Phone (804) 288-6258
Other practice location 1
1630 Wilkes Ridge Pkwy Ste 101
Richmond, VA 23233-7410
Phone (804) 775-4500
Other practice location 2
5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 288-6258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9554611 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.01 of 100
- Quality
- 47.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001082689 | VA | MD | Registered Nurse |
| 0024082689 | VA | MD | Certified Registered Nurse Anesthetist |
Interoperability endpoints
- lorene.davidson.1@30293.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1194713974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5855 BREMO RD",
"address_2": "SUITE 100 NORTH",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261926",
"telephone_number": "804-288-6258",
"fax_number": "804-282-9921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 STONY POINT PKWY STE 100",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232351968",
"telephone_number": "804-775-4500",
"fax_number": "804-545-0758"
}
],
"practiceLocations": [
{
"address_1": "1630 Wilkes Ridge Pkwy Ste 101",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232337410",
"country_code": "US",
"telephone_number": "804-775-4500",
"fax_number": "804-545-0758",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5801 Bremo Rd",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232261907",
"country_code": "US",
"telephone_number": "804-288-6258",
"fax_number": "804-282-9921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIDSON",
"first_name": "LORENE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001082689",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024082689",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9554611",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.