Active NPI
David L Johnson, CRNA
- Certified Registered Nurse Anesthetist
- Jber, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9245841
- Practice address
- 673 MDG
5955 Zeamer Avenue
Jber, AK 99506 - Phone
- (907) 580-1815
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
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
- Bradenton, FL
- NPI 1073001012
-
- Pain Medicine (Anesthesiology) Physician
- Palmer, AK
- NPI 1811778442
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1245271154
-
- Internal Medicine Physician
- Montgomery, AL
- NPI 1184738478
-
- Anesthesiology Physician
- Palmer, AK
- NPI 1023252087
-
- Certified Registered Nurse Anesthetist
- Birmingham, AL
- NPI 1356674360
NPD NURSE ANESTHETIST, CERTIFIED REGISTERED -
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
-
- Ambulatory Surgical Clinic/Center
- Pensacola, FL
- NPI 1043396245
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Dynamics LLC
Practice addresses (Care Compare)
110 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-1825
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AL, AK, FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161111001181 | AL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0840398996 | Reassigns benefits to 1 organization |
| I20240607000805 | AK | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0840398996 | Reassigns benefits to 1 organization |
| I20241025001658 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0840398996 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9245841 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama at Birmingham | Current |
Accepting new patients | |
| University of Alabama at Birmingham | Current | Accepting new patients | |
| Jax Anesthesia Providers LLC | Current |
Accepting new patients | |
| University of Alabama at Birmingham | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Northern Lights Anesthesia LLC | Current |
Accepting new patients | |
| Palmer Pain and Headache LLC | Current |
Accepting new patients | |
| West Florida Medical Center Clinic PA | Past | Accepting new patients |
Locations
1901 N Hemmer Rd
Apt 111
Palmer, AK 99645
Phone (907) 745-8000
1150 S Colony Way
Palmer, AK 99645
Phone (907) 715-6300
1150 S Colony Way
Ste 3
Palmer, AK 99645
619 19th St S
Rm JT845
Birmingham, AL 35249
Phone (205) 934-7072
4800 Belfort Rd
Jacksonville, FL 32256
Phone (904) 307-2084
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 9245841 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
673 MDG
5955 Zeamer Avenue
Jber, AK 99506
Mailing address
340 Boatner Rd
Eglin Afb, FL 32542-1391
Phone (850) 883-9658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 31, 2022.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1346211166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 BOATNER RD",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "325421391",
"telephone_number": "850-883-9658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "673 MDG",
"address_2": "5955 ZEAMER AVENUE",
"city": "JBER",
"state": "AK",
"postal_code": "99506",
"telephone_number": "907-580-1815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DAVID",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9245841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jber, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.