Individual provider Active NPI

Joanne L Anderson, CRNA

  • Certified Registered Nurse Anesthetist
  • Sun City West, AZ
National Provider Identifier
1609834951
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA0836 Issued in AZ
Practice address
19052 N R H Johnson Blvd
Sun City West, AZ 85375-4401
Phone
(623) 975-2020
Fax
(623) 975-7005
NPI assigned
May 3, 2006
Last updated
May 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP3378792 FL
Certified Registered Nurse Anesthetist 367500000X CRNA0836 AZ Primary

Addresses

Primary practice location

19052 N R H Johnson Blvd
Sun City West, AZ 85375-4401

Mailing address

11022 N 28TH Dr Ste 100
Phoenix, AZ 85029-5634
Phone (602) 424-7967

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120808000245 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789607391 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP3378792FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Az Care Anesthesia , PLC CurrentSince Feb 10, 2018 Accepting new patients
Jla Anesthesia Services PA Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Anesthesia Partners of Arizona LLC CurrentSince Jun 15, 2019 Accepting new patients
Lake County Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Advanced Anesthesia Associates LLC Past Accepting new patients
North Tampa Anesthesia Consultants Past Accepting new patients
Premier Dermatology, LLC Past Accepting new patients
Wabash Valley Anesthesia Nurse Anesthetist, Certified Registered Past Accepting new patients
Memorial Health Anesthetists Past Accepting new patients
Regional Anesthesia Group Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

11022 N 28th Dr
Ste 100
Phoenix, AZ 85029

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

13640 N 99th Ave
Ste 600
Sun City, AZ 85351
Phone (623) 523-0580

19052 N R H Johnson Blvd
Sun City West, AZ 85375
Phone (623) 232-0560

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1609834951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11022 N 28TH DR STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295634",
            "telephone_number": "602-424-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19052 N R H JOHNSON BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754401",
            "telephone_number": "623-975-2020",
            "fax_number": "623-975-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOANNE",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP3378792",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.