Individual provider Active NPI

Tamie R. Davis, CRNA

  • Certified Registered Nurse Anesthetist
  • Stuart, FL
National Provider Identifier
1962475657
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP3244502 Issued in FL
Practice address
2100 SE Ocean Blvd
Stuart, FL 34996-3332
Phone
(772) 337-7676
NPI assigned
Feb 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP3244502 FL Primary

Addresses

Primary practice location

2100 SE Ocean Blvd
Stuart, FL 34996-3332

Mailing address

442 Capistrano Drive
Palm Beach Gardens, FL 33410

Other identifiers 1

IdentifierTypeStateIssuer
304030500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040913000123 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628045424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Anesthesia Ams LLCGroup PAC ID 4789814617, 9 clinicians

Practice addresses (Care Compare)

900 Village Square Xing
Suite 100
Palm Beach Gardens, FL 33410-4547
Phone (561) 429-6880

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fpra Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 29, 2021 Accepting new patients
Ocala Anesthesia Ams LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 20, 2021 Accepting new patients
National Surgical Centers of America LLC Past Accepting new patients

Locations

2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200

900 Village Square Xing
Ste 100
Palm Beach Gardens, FL 33410
Phone (561) 346-7698

150 SW Chamber Ct
Ste 104
Port St Lucie, FL 34986
Phone (772) 879-5300

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

1693 Lee Rd
Ste A
Winter Park, FL 32789
Phone (407) 287-4300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1139616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1962475657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 CAPISTRANO DRIVE",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963332",
            "telephone_number": "772-337-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TAMIE",
        "middle_name": "R.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-11",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP3244502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304030500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.