Samuel V. Davenport, CRNA
Certified Registered Nurse Anesthetist · Johnson City, TN
Samuel V. Davenport, CRNA is a certified registered nurse anesthetist with a practice address in Johnson City, Tennessee, and NPI 1083616056, issued on Aug 10, 2005. Check the license (Tennessee RN0000104846, as entered in NPPES) with the Tennessee board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Samuel V. Davenport
- Credential
- CRNA
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License number
- RN0000104846 TN
Self-reported in NPPES; status is on the state search - Practice location
- 400 N State OF Franklin RD, Johnson City, TN 37604
- Phone
- (423) 431-6111
- Enumerated
- Aug 10, 2005
- Record last updated
- Apr 24, 2019 (not updated in 7 years: call before relying on the address or phone)
- Medicaid ID
- 3631202 TN
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 3,117 in Tennessee → Look up another NPI →
Also registered at 400 N State OF Franklin RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Amani Al Housseiny, MDStudent in an Organized Health Care Education/Training Program1407616675
- Rennie Atkins, DPHPharmacist1730449588
- Oluwatosin Ayanjoke, MDFamily Medicine Physician1053098566
- Brittany Bailey, RN, SRNAStudent in an Organized Health Care Education/Training Program1285500249
- Michael Baines, PA-CPhysician Assistant1538423322
- Vanessa Bare, APNFamily Nurse Practitioner1750055448
Verify Samuel V. Davenport in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Tennessee board licenses this profession
Search for license RN0000104846Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $21.60
1 payment: food and beverage; the largest payer was Medtronic, Inc. The 24,076 providers of this specialty with any payment received $135.08 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Samuel V. Davenport among 3,117 certified registered nurse anesthetist records in Tennessee
Samuel V. Davenport, CRNA is one of 3,117 certified registered nurse anesthetist records with a practice address in Tennessee. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 90% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileNo · 76% of these records are
- Record last updated2019 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
86 certified registered nurse anesthetist records list a practice address in Johnson City
They are 86 of the 3,807 NPPES records with a practice address in Johnson City, and 3,117 certified registered nurse anesthetist records in Tennessee.
All 3,117 in Tennessee → Every provider in Johnson City → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Sheila Beasley, CRNAJohnson City, TN 376041861493793
- Jerry Bullard, CRNAJohnson City, TN 376041598765919
- Jodi Carlsen, CRNAJohnson City, TN 376041093707986
- Patricia Cathelyn, CRNAJohnson City, TN 376041851393805
- Larry Cornwell, CRNAJohnson City, TN 376041841292810
- Amy Erickson, CRNAJohnson City, TN 376041528060423
- Donna Fowler, CRNAJohnson City, TN 376041144222894
- Ruben Fuentes, CRNAJohnson City, TN 376041366444028
Common questions
What is Samuel V. Davenport, CRNA's NPI number?
Samuel V. Davenport, CRNA's National Provider Identifier (NPI) is 1083616056, issued on Aug 10, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Samuel V. Davenport, CRNA located?
The NPPES record lists a practice address at 400 N State OF Franklin RD, Johnson City, TN, 37604. Phone: (423) 431-6111. Providers update this record themselves, so call before visiting.
How can I verify Samuel V. Davenport, CRNA's license?
NPPES lists Tennessee license number RN0000104846, as entered by the provider. Search the Tennessee board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.