Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Laris Olivia Davenport, RN

Individual provider Registered Nurse · NPI 1922699685

Miss. Laris Olivia Davenport, RN is a Certified Registered Nurse Anesthetist (CRNA) in San Diego, California. Qualified in 2023, 3 years ago. Practices with Regents of the University of California, a 2,061-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California and Pennsylvania.

Years since qualifying
3
Licensed in
CA, PA
In the registry since
2021
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 9300 Campus Point Dr, La Jolla, CA 92037-1300 — (800) 926-8273
  • 6655 Alvarado Rd, San Diego, CA 92120-5208 — (800) 926-8273
  • 200 Lothrop St, Pittsburgh, PA 15213-2536 — (412) 647-2345

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence NA95002421 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 710866 (PA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 147782 (PA)

Record details

NPI number1922699685
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedJanuary 26, 2021
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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