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

Timothy Bowen Davis, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1295576338

Timothy Bowen Davis, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Idaho Falls, Idaho. Qualified in 2024, 2 years ago. Practices with Intermountain Anesthesia PA, a 26-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
2
Licensed in
ID
In the registry since
2024
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone: (208) 529-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 53434 (ID)
Registered Nurse Taxonomy 163W00000X · Licence 53434 (ID)

Record details

NPI number1295576338
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 3, 2024
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Intermountain Anesthesia Pa — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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