Active NPI
Mona R Johnson, CRNA
- Certified Registered Nurse Anesthetist
- Panama City, FL
National Provider Identifier
1205813383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9281201
- Practice address
- 1600 Jenks Ave
Panama City, FL 32405-4644 - Phone
- (850) 763-6666
- Fax
- (850) 763-6665
- NPI assigned
- Dec 29, 2005
- 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 | 1023968 | AL | |
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9281201 | FL | Primary |
Addresses
Primary practice location
1600 Jenks Ave
Panama City, FL 32405-4644
Mailing address
1600 Jenks Ave
Panama City, FL 32405-4644
Phone (850) 763-6666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G900G | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1023968 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Group East PC | Past | Accepting new patients | |
| Anesthesia Services of Birmingham, P.C. | Past | Accepting new patients | |
| Premier Anesthesia of Montgomery PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Group East PC | Past | Accepting new patients | |
| Huntsville Anesthesiology Consultants PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Birmingham, AL
- NPI 1124015623
-
- Anesthesiology Physician
- Birmingham, AL
- NPI 1376675181
-
- Anesthesiology Physician
- Birmingham, AL
- NPI 1184663064
-
- Certified Registered Nurse Anesthetist
- Huntsville, AL
- NPI 1073661492
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Montgomery, AL
- NPI 1780636233
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252368000000",
"number": "1205813383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 JENKS AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054644",
"telephone_number": "850-763-6666",
"fax_number": "850-763-6665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 JENKS AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054644",
"telephone_number": "850-763-6666",
"fax_number": "850-763-6665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MONA",
"middle_name": "R",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-29",
"last_updated": "2009-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1023968",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9281201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
"identifier": "G900G",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.