Individual provider Active NPI

Jodie B Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Baton Rouge, LA
National Provider Identifier
1306981279
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN096309 Issued in LA
Practice address
8212 Summa Ave
Baton Rouge, LA 70809-3421
Phone
(225) 769-4403
Fax
(225) 769-3842
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN096309 LA Primary

Addresses

Primary practice location

8212 Summa Ave
Baton Rouge, LA 70809-3421

Mailing address

7777 Hennessy Blvd
Ste 301
Baton Rouge, LA 70808-0319
Phone (225) 769-4403

Other identifiers 1

IdentifierTypeStateIssuer
RN096309 AP05113OtherLACRNA LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070615000590 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214036268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiology Affiliates LLCGroup PAC ID 6800936162, 39 clinicians

Practice addresses (Care Compare)

9103 Jefferson Hwy
Baton Rouge, LA 70809-2440
Phone (225) 927-1190

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Group Associates Inc CurrentSince Jan 16, 2007 Accepting new patients
Anesthesiology Affiliates, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 30, 2019 Accepting new patients

Locations

7777 Hennessy Blvd
Ste 301
Baton Rouge, LA 70808
Phone (225) 214-6436

9103 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 927-1190

11414 Lake Sherwood Ave N
Baton Rouge, LA 70816
Phone (225) 532-4058

8212 Summa Ave
Baton Rouge, LA 70809
Phone (225) 769-4403

Organizations & group practices 2

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1306981279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "STE 301",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708080319",
            "telephone_number": "225-769-4403",
            "fax_number": "225-769-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 SUMMA AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093421",
            "telephone_number": "225-769-4403",
            "fax_number": "225-769-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JODIE",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN096309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNA LIC",
            "identifier": "RN096309 AP05113",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.