Active NPI
Kimberly A Davis, CRNA
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN303254L
- Practice address
- 3401 N Broad St
Philadelphia, PA 19140-5103 - Phone
- (215) 707-3326
- Fax
- (215) 707-8028
- NPI assigned
- Jun 27, 2005
- Last updated
- Apr 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN303254L | PA | Primary |
Addresses
Primary practice location
3401 N Broad St
Philadelphia, PA 19140-5103
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 793-4035
Other practice location 1
51 N 39th St
Philadelphia, PA 19104-2640
Phone (215) 793-4035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (215) 938-3413
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 349-8310
3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-3326
800 Spruce St
Philadelphia, PA 19107-6130
Phone (215) 829-5664
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.21 of 100
- Quality
- 49.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.23
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.91 of 100
- Quality
- 73.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Faculty Practice Plan, Inc | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Society Hill Anesthesia Consultants, PC | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Northstar Anesthesia of Pennsylvania, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Huntingdon Valley Anesthesia Associates | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Health Services of Fox Chase Cancer Center | Past | Accepting new patients | |
| Philadelphia Health & Education Corporation | Past | Accepting new patients | |
| Health Services of Fox Chase Cancer Center | Past | Accepting new patients | |
| James F Noone MD PC | Past | Accepting new patients | |
| Liberty Anesthesia Associates, P. C. | Past | Accepting new patients |
Locations
1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000
1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561
501 N Lansdowne Ave
Drexel Hill, PA 19026
Phone (610) 284-8100
821 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 938-3413
1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413
1650 Huntingdon Pike
Ste 313
Meadowbrook, PA 19046
Phone (215) 938-3413
2701 DeKalb Pike
Norristown, PA 19401
Phone (215) 335-6000
2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433
333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893
3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046
7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522
840 Walnut St
Philadelphia, PA 19107
Phone (215) 440-3150
800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Meadowbrook, PA
- NPI 1710933114
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1427003219
-
dba Temple Faculty Anesthesiology Associates
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Anesthesiology Physician
- Darby, PA
- NPI 1700218989
Nurse Anesthetist, Certified Registered
-
dba Temple Faculty Pulmonary Associates
- Pulmonary Disease Physician
- Philadelphia, PA
- NPI 1104309889
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1609264720
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
dba Temple Faculty Multi-Specialty at NJ
- Urology Physician
- Voorhees, NJ
- NPI 1407638794
-
dba Dermatology Associates of FCCC
- Dermatology Physician
- Philadelphia, PA
- NPI 1144338351
-
dba Gynecological Oncology Associates of FCCC
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1568564821
-
- Specialist
- Meadowbrook, PA
- NPI 1699721001
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Philadelphia, PA
- NPI 1730195017
-
dba UPHS Presbyterian Medical Center
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1306842141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 W HUNTING PARK AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291302",
"telephone_number": "215-793-4035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405103",
"telephone_number": "215-707-3326",
"fax_number": "215-707-8028"
}
],
"practiceLocations": [
{
"address_1": "51 N 39th St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191042640",
"country_code": "US",
"telephone_number": "215-793-4035",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "KIMBERLY",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN303254L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.