Jaime I. Davenport, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

700495 Issued in KY

Practice address

1 Trillium Way
Corbin, KY 40701-8727

Phone

(606) 528-1212

NPI assigned

Jan 13, 2016

Last updated

Jan 13, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Lincoln Memorial University Medical Department, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Associates of Coeur D Alene PLLCGroup PAC ID 2365427838, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
• St Mary's Hospital Hospital, Cottonwood, ID, CCN 131321

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesia Associates of Coeur D Alene PLLC

  • Anesthesiology Physician
  • Coeur d'Alene, ID
  • NPI 1962440966

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kootenai Health, Inc.

  • General Acute Care Hospital
  • Coeur d'Alene, ID
  • NPI 1992798409
  Care Compare affiliation
• St. Mary's Hospital Inc

  dba St. Mary's Health

  • Family Medicine Physician
  • Cottonwood, ID
  • NPI 1174577100

  Hospital

  Care Compare affiliation
• St. Mary's Hospital Inc

  dba St Mary's Healthwatch

  • Durable Medical Equipment & Medical Supplies
  • Cottonwood, ID
  • NPI 1174673552

  Hospital

  Care Compare affiliation
• St. Mary's Hospital Inc

  dba St. Mary's Health

  • Family Medicine Physician
  • Nezperce, ID
  • NPI 1366480394

  Hospital

  Care Compare affiliation
• St. Mary's Hospital Inc

  dba St. Mary's Health

  • Family Medicine Physician
  • Kamiah, ID
  • NPI 1568400562

  Hospital

  Care Compare affiliation
• St. Mary's Hospital Inc

  dba St. Mary's Health

  • Family Medicine Physician
  • Craigmont, ID
  • NPI 1770521817

  Hospital

  Care Compare affiliation
• St. Mary's Hospital Inc

  dba St. Mary's Health

  • Critical Access Hospital
  • Cottonwood, ID
  • NPI 1841292307
  Care Compare affiliation

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1437515988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LEWIS HARGETT CIR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033590",
            "telephone_number": "859-268-1030",
            "fax_number": "859-269-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRILLIUM WAY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018727",
            "telephone_number": "606-528-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "JAIME",
        "middle_name": "I.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "700495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia L Daniel, PA-C
• William T Daniel II, MD
• Amanda Blair Daniels
• Deborah Ann Daniels, A.P.R.N.
• Brittney Fay Davenport, BS
• Cecilia Beth Davidson
• Sondra Renner Davidson, M ED
• Ann Marie Davis, DPM
• Crystal Joyce Davis, BS
• Jeremy Nicholas Davis, PT, DPT

• Certified Registered Nurse Anesthetist in Corbin, KY
• Providers in Corbin, KY by specialty
• Certified Registered Nurse Anesthetist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.