Active NPI
Tamie R. Davis, CRNA
- Certified Registered Nurse Anesthetist
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP3244502
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304030500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fpra Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ocala Anesthesia Ams LLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1699197343
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Winter Park, FL
- NPI 1952756728
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Port St. Lucie, FL
- NPI 1346662186
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.