Individual provider Active NPI

Davrin Davis, RN

  • Certified Registered Nurse Anesthetist
  • Las Vegas, NV
National Provider Identifier
1255930152
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
837030 Issued in NV
Practice address
6900 N Durango Dr
Las Vegas, NV 89149-4409
Phone
(702) 835-9700
NPI assigned
Oct 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN90241 NV
Certified Registered Nurse Anesthetist 367500000X 837030 NV Primary

Addresses

Primary practice location

6900 N Durango Dr
Las Vegas, NV 89149-4409

Mailing address

630 Willard Ave
Pocatello, ID 83201-3743
Phone (702) 469-6284

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210212002349 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113332776 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Anesthesiology Consultants-Beckett-PLLCGroup PAC ID 6507925849, 42 clinicians

Practice addresses (Care Compare)

10120 S Eastern Ave
Suite 230
Henderson, NV 89052-3951
Phone (702) 487-6880

Hospital & facility affiliations

  • Southern Hills Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290047
  • Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN90241NVMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Anesthesia Associates Nurse Anesthetist, Certified Registered CurrentSince Jan 19, 2023 Accepting new patients
Red Rock Anesthesia Consultants LLC CurrentSince Oct 3, 2022 Accepting new patients
Valley Anesthesiology Consultants-Beckett-PLLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

2779 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 589-9250

10120 S Eastern Ave
Ste 230
Henderson, NV 89052
Phone (702) 487-6880

2565 E Flamingo Rd
Las Vegas, NV 89121
Phone (702) 697-7900

5915 S Rainbow Blvd
Ste 108
Las Vegas, NV 89118
Phone (702) 227-7659

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

1330 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 562-8564

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1255930152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 WILLARD AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013743",
            "telephone_number": "702-469-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 N DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494409",
            "telephone_number": "702-835-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DAVRIN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NV",
            "license": "RN90241",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "837030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.