Larry G Johnson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN0000030838 Issued in TN

Practice address

1104 Tusculum Blvd
Suite 303
Greeneville, TN 37745-4091

Phone

(423) 636-8600

Fax

(423) 636-8892

NPI assigned

Apr 8, 2006

Last updated

Aug 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1407819725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 TUSCULUM BLVD",
            "address_2": "SUITE 303",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454091",
            "telephone_number": "423-636-8600",
            "fax_number": "423-636-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 TUSCULUM BLVD",
            "address_2": "SUITE 303",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454091",
            "telephone_number": "423-636-8600",
            "fax_number": "423-636-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LARRY",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "RN0000030838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "0177990",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3600909",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAID",
            "identifier": "8050485",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Johnson, FNP
• Angela Helen Johnson, PTA
• Daniel Patrick Johnson, APRN
• Jennifer Leigh Johnson, APRN, FNP-C
• Kelly Vanessa Johnson, PHARM D
• Maryellen Johnson, FNP
• Nicholas Gregory Johnson, DPT
• Teena Helen Johnson, R. N.
• David Blair Jones, DDS
• Erin Peavyhouse Jones, PHARMD

• Certified Registered Nurse Anesthetist in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.