Active NPI
Christine M Johnson, CRNA
- Certified Registered Nurse Anesthetist
- Leavenworth, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 095632
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS, FL
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41273 | TX | MD | Ambulatory Care Pharmacist |
| 55414 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles (5 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1656 Anesthesia, LLC | Current | Accepting new patients | |
| Midwest Digestive Health Center LLC | Current | Accepting new patients | |
| Midwest Digestive Health Center LLC | Nurse Anesthetist, Certified Registered | Current | 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
- 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.
-
- Certified Registered Nurse Anesthetist
- Lees Summit, MO
- NPI 1821324260
MO, Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Lees Summit, MO
- NPI 1558487009
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1174504732
-
- Anesthesiology Physician
- Lees Summit, MO
- NPI 1699875740
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.