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

Victoria Grace Davenport, CAA

Individual provider Anesthesiologist Assistant · NPI 1821985409

Victoria Grace Davenport, CAA is an Anesthesiology Assistant in Liberty, Missouri. Qualified in 2025, 1 year ago. Practices with Professional Anesthetic Care Inc, a 31-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
1
Licensed in
MO
In the registry since
2025
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Practice location Address checks out

2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone: (816) 781-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 2025024785 (MO)

Record details

NPI number1821985409
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials CAA
Sole proprietorNo
NPI enumeratedJune 18, 2025
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Professional Anesthetic Care Inc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Liberty