Angela C Davis, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP06028 Issued in LA

Practice address

1100 Andre St Ste 300
Yps - Credentialing
New Iberia, LA 70563-2159

Phone

(337) 364-9225

Fax

(337) 364-6094

NPI assigned

Feb 4, 2010

Last updated

Dec 7, 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

Other identifiers 2

Other names 1

• Miss Angela C Wimberly Former name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Galleria Anesthesia Associates, LLCGroup PAC ID 6507261740, 36 clinicians

Symvios Anesthesia LLCGroup PAC ID 8729446521, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sterling Surgical Hospital Hospital, Slidell, LA, CCN 190256

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.

• Galleria Anesthesia Associates, LLC

  dba AVALA Anesthesia

  • Anesthesiology Physician
  • Metairie, LA
  • NPI 1962966796
  Medicare reassignment Care Compare group NPD
• Symvios Anesthesia LLC

  • Anesthesiology Physician
  • Slidell, LA
  • NPI 1427746619
  Medicare reassignment Care Compare group NPD
• Youngs Professional Services LLC

  dba YPS Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Consultants Medical Group PC

  • Certified Registered Nurse Anesthetist
  • Dothan, AL
  • NPI 1902885874

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

• Doctors' Hospital of Slidell, LLC

  dba Cypress Pointe Hospital East

  • General Acute Care Hospital
  • Slidell, LA
  • NPI 1043392491
  Care Compare affiliation

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1790017523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 PINE ST",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704479705",
            "telephone_number": "985-707-3218",
            "fax_number": "614-442-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ANDRE ST STE 300",
            "address_2": "YPS - CREDENTIALING",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632159",
            "telephone_number": "337-364-9225",
            "fax_number": "337-364-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANGELA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP06028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2135619",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS LA",
            "identifier": "1790017523",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "WIMBERLY",
            "middle_name": "C",
            "prefix": "MISS",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dauterive Professionals Management (LST Anesthesia)
• Edward W Dauterive Jr., MD
• Matthew Earles Dauterive
• James D Dauzart Jr., CRNA
• Felicia Davis-Smith
• Gustavia C Davis, LCOTA
• Marcie Davis
• Reginald Davis
• Adrian Daye
• DDMS of Louisiana No 2, LLC

• Certified Registered Nurse Anesthetist in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.