Individual provider Active NPI

Lorene Davidson, CRNA

  • Registered Nurse
  • Richmond, VA
National Provider Identifier
1194713974
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001082689 Issued in VA
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

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9554611MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.01 of 100Reported as group
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

LicenseStateTypeSpecialty
0001082689VAMDRegistered Nurse
0024082689VAMDCertified Registered Nurse Anesthetist

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.