Michelle Davenport, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

043647 Issued in PA

Practice address

423 3Rd Ave
Kingston, PA 18704-5809

Phone

(570) 331-0880

Fax

(570) 331-0220

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Anthracite Anesthesia Consultants, LLC

  • Certified Registered Nurse Anesthetist
  • Hamburg, PA
  • NPI 1366168353

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Forty Fort Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Forty Fort, PA
  • NPI 1346600038

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Lehigh Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Allentown, PA
  • NPI 1508842246
  Medicare reassignment NPD
• Northeast Gastroenterology Center, Inc.

  • Gastroenterology Physician
  • Hazle Township, PA
  • NPI 1164509287
  Medicare reassignment NPD
• Greater Hazleton Gastroenterology, P.C.

  • Gastroenterology Physician
  • Hazle Township, PA
  • NPI 1427683580
  NPD
• Northeast Gastroenterology Center, Inc.

  • Certified Registered Nurse Anesthetist
  • Hazle Township, PA
  • NPI 1972854446

  Nurse Anesthetist, Certified Registered

  NPD
• Professional Anesthesia Providers, PC

  • Anesthesiology Physician
  • Shavertown, PA
  • NPI 1437138294
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1407887334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1587",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040587",
            "telephone_number": "570-331-0880",
            "fax_number": "570-331-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 3RD AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045809",
            "telephone_number": "570-331-0880",
            "fax_number": "570-331-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "MICHELLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "043647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "015192M49",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey D'Andrea, DO
• Kimberly S D'Andrea, PSY.D.
• Rabekah M Dalessio, RN
• Joseph Francis Daley, D.P.M.
• Whitney L Dartnell
• David Liskov, MD
• Alysha Davis, PA-C
• Danny Walther Davis, CRNP
• Nayab Davis, OD
• Sandra Davis, L.M.T.

• Certified Registered Nurse Anesthetist in Kingston, PA
• Providers in Kingston, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.