P Praxis·MD
● Active Type 1 · Individual

Timothy Bowen Davis, CRNA

Nurse Anesthetist, Certified Registered·Idaho Falls, ID· NPI 1295576338 · Enumerated 2024 · 1 years on NPI
Davis is 1 of 60 nurse anesthetist, certified registered providers in Idaho Falls and 1 of 575 in Idaho.
NPI age
1 years
Enumerated 2024-06-03
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-06-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 575 active nurse anesthetist, certified registered providers in Idaho.

NPI age
1 years
↓ 14 yr below median (15 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2024 → 2026

2024-06Enumerated in NPPES
2024 2026

Where they practice

Practice location
3100 Channing Way
Idaho Falls, ID 834047533
📞 2085296111
Mailing address
3100 Channing Way
Idaho Falls, ID 834047533
📞 2085296111

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
    ID license #53434 taxonomy 367500000X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    ID license #53434 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 240 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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