Individual provider Active NPI

Kevin W Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Galveston, TX
National Provider Identifier
1407844483
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
616186 Issued in TX
Practice address
301 University Blvd
Galveston, TX 77555-5302
Phone
(409) 772-2222
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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 616186 TX Primary

Addresses

Primary practice location

301 University Blvd
Galveston, TX 77555-5302

Mailing address

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222

Other identifiers 1

IdentifierTypeStateIssuer
002858102MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051117000738 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183643273 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texans Anesthesia Associates PLLCGroup PAC ID 8820171390, 197 clinicians
Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians

Practice addresses (Care Compare)

1635 N Loop W
Houston, TX 77008-1532
Phone (713) 400-2990

7900 Fannin St
Suite 2300
Houston, TX 77054-2947
Phone (713) 790-1349

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Anesthesiology Group PLLC CurrentSince Jan 14, 2015 Accepting new patients
Dynamic Anesthesia Providers PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Independent Physicians Network PLLC CurrentSince Mar 1, 2025 Accepting new patients
Austin Anesthesiology Group, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 14, 2015 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2025 Accepting new patients
Texans Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Compass Anesthesia Providers PLLC CurrentSince May 1, 2020 Accepting new patients
Texas United Anesthesia PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Utmb Faculty Group Practice Past Accepting new patients
Anesthesia Specialists of Houston, L.L.P. Past Accepting new patients
Medical Center Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
River Oaks Anesthesia Consultants PA Past Accepting new patients
Medical Center Anesthesia Associates PA PastSince May 1, 2017 Accepting new patients
Pediatric Dentistry of Keller PLLC PastSince Jul 28, 2019 Accepting new patients
Anesthesia Specialists of Houston, L.L.P Past Accepting new patients

Locations (25 of 29)

2501 W William Cannon Dr
Ste 301
Austin, TX 78745
Phone (512) 439-7300

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006

4201 Garth Rd
Ste 212
Baytown, TX 77521
Phone (281) 420-9355

3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002

3625 N Hall St
Ste 800
Dallas, TX 75219
Phone (214) 252-3500

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818

7900 Fannin St
Ste 2300
Houston, TX 77054
Phone (713) 790-1349

4120 Southwest Fwy
Ste 100
Houston, TX 77027
Phone (713) 626-8500

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

7900 Fannin St
Ste 2
Houston, TX 77054
Phone (713) 790-1349

7700 Fannin St
Houston, TX 77054
Phone (713) 790-1349

16840 Buccaneer Ln
Ste 261
Houston, TX 77058
Phone (832) 932-5968

4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428

5858 Westheimer Rd
Ste 82
Houston, TX 77057
Phone (713) 784-6065

7401 Main St
Houston, TX 77030
Phone (713) 799-8600

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

1627 Keller Pkwy
Ste 100
Keller, TX 76248
Phone (480) 207-9709

5150 Crenshaw Rd
Ste H100
Pasadena, TX 77505
Phone (281) 525-6106

4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1407844483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302",
            "telephone_number": "409-772-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302",
            "telephone_number": "409-772-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEVIN",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "616186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002858102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.