Individual provider Active NPI

Christine M Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Leavenworth, KS
National Provider Identifier
1013083732
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
095632 Issued in MO
Practice address
1298 Eisenhower Rd
Leavenworth, KS 66048-5532
Phone
(913) 727-5600
Fax
(816) 727-5602
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 095632 MO Primary
Certified Registered Nurse Anesthetist 367500000X 55414 KS

Addresses

Primary practice location

1298 Eisenhower Rd
Leavenworth, KS 66048-5532

Mailing address

1298 Eisenhower Rd
Leavenworth, KS 66048-5532
Phone (913) 727-5600

Other names 1

  • Miss Christine M Guthland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050131000951 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123085545 Reassigns benefits to 2 organizations
I20080501000592 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123085545 Reassigns benefits to 1 organization
I20230703000004 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123085545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
1656 Anesthesia LLC 12 clinicians

Practice addresses (Care Compare)

1656 Medical Blvd
Suite 201
Naples, FL 34110-1423
Phone (239) 449-4945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
41273TXMDAmbulatory Care Pharmacist
55414KSMDCertified Registered Nurse Anesthetist

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
1656 Anesthesia, LLC CurrentSince Mar 18, 2023 Accepting new patients
Midwest Digestive Health Center LLC Current Accepting new patients
Midwest Digestive Health Center LLC Nurse Anesthetist, Certified Registered CurrentSince May 25, 2022 Accepting new patients
Anesthesia Services of Eastern Jackson County, P.C. Past Accepting new patients
Anesthesia Associates of Kansas City PA Past Accepting new patients

Locations

1656 Medical Blvd
Ste 201
Naples, FL 34110
Phone (239) 431-5713

3601 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 207-2000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: cjohnson667605@direct.saint-lukes.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1013083732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1298 EISENHOWER RD",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485532",
            "telephone_number": "913-727-5600",
            "fax_number": "816-727-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 EISENHOWER RD",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485532",
            "telephone_number": "913-727-5600",
            "fax_number": "816-727-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "095632",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "GUTHLAND",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.