Individual provider Active NPI

Randi Terry Davis, CRNA

  • Certified Registered Nurse Anesthetist
  • Syracuse, NY
National Provider Identifier
1295815892
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
306445 Issued in NY
Practice address
736 Irving Ave
Syracuse, NY 13210-1602
Phone
(315) 470-7111
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704197826 MI
Certified Registered Nurse Anesthetist 367500000X 306445 NY Primary
Certified Registered Nurse Anesthetist 367500000X 26NJ00306400 NJ

Addresses

Primary practice location

736 Irving Ave
Syracuse, NY 13210-1602

Mailing address

339 Consort Dr
Ballwin, MO 63011-4439
Phone (636) 386-9224

Other practice location 1

5801 E Taft Rd
Syracuse, NY 13212-3291
Phone (315) 418-4140

Other practice location 2

200 S Orange Ave
Livingston, NJ 07039-5817
Phone (973) 577-4056

Other practice location 3

615 S New Ballas Rd
Dept. of Anesthesiology
Saint Louis, MO 63141-8221
Phone (636) 386-9224

Other identifiers 3

IdentifierTypeStateIssuer
4308759910OtherMIBCBS INDIVIDUAL PIN
4308712580OtherMIBCBS - MICHIGAN
4381587MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MO, NJ, IL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20110307000875 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113011123 Reassigns benefits to 2 organizations
I20140327001357 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113011123 Reassigns benefits to 5 organizations
I20210601001365 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113011123 Reassigns benefits to 1 organization
I20230519000728 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113011123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Illinois, LLCGroup PAC ID 4688893878, 404 clinicians

Practice addresses (Care Compare)

1423 Chicago Rd
Chicago Heights, IL 60411-3400
Phone (708) 756-1000

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Services of Practice Associates, PA CurrentSince Jun 1, 2021 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Aug 19, 2024 Accepting new patients
Comprehensive Anesthesia Care PC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2014 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Aug 19, 2024 Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2025 Accepting new patients
Midwest Anesthesia Providers S.C Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2016 Accepting new patients
Associated Anesthesiologists, S.C. CurrentSince Apr 8, 2023 Accepting new patients
Southeast Missouri Hospital Physicians, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC CurrentSince Apr 1, 2023 Accepting new patients
Ambulatory Anesthesia Services of St. Charles, LLC CurrentSince Jun 1, 2023 Accepting new patients
Associated Anesthesiologists, SC PastSince Dec 6, 2020 Accepting new patients

Locations

2 Memorial Dr
Alton, IL 62002
Phone (618) 462-0710

530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000

13627 Big Bend Rd
Saint Louis, MO 63122
Phone (314) 720-2172

4203 S Cloverleaf Dr
Saint Peters, MO 63376
Phone (636) 346-6051

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

200 S Orange Ave
Livingston, NJ 07039
Phone (973) 322-7007

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

7 Southwoods Blvd
Ste 4
Albany, NY 12211

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

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

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

5801 E Taft Rd
Syracuse, NY 13212
Phone (315) 418-4140

725 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

475 Irving Ave
Syracuse, NY 13210
Phone (315) 234-9679

Organizations & group practices 12

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 1

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1295815892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 CONSORT DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114439",
            "telephone_number": "636-386-9224",
            "fax_number": "636-386-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 IRVING AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101602",
            "telephone_number": "315-470-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 E Taft Rd",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132123291",
            "country_code": "US",
            "telephone_number": "315-418-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070395817",
            "country_code": "US",
            "telephone_number": "973-577-4056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 S New Ballas Rd",
            "address_2": "Dept. of Anesthesiology",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418221",
            "country_code": "US",
            "telephone_number": "636-386-9224",
            "fax_number": "636-386-7679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RANDI",
        "middle_name": "TERRY",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704197826",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "306445",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00306400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL PIN",
            "identifier": "4308759910",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - MICHIGAN",
            "identifier": "4308712580",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4381587",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.