Crna Stat Inc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

CRNA STAT INC

Practice address

4534 S Lake Park Ave
Chicago, IL 60653-4510

Phone

(312) 394-0222

NPI assigned

Jul 8, 2020

Last updated

Jul 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrice Harrell Johnson, CRNA, MS

Title

Owner/Provider

Phone

(312) 394-0222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1639797525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4534 S LAKE PARK AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534510",
            "telephone_number": "312-394-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4534 S LAKE PARK AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534510",
            "telephone_number": "312-394-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRNA STAT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "HARRELL JOHNSON",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "312-394-0222",
        "authorized_official_credential": "CRNA, MS"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Critchfield
• Penelope S. Crittenden, PH.D.
• Simone Crivellaro, MD
• August John Crivolio, PH.D.
• Kathryn Crivolio, D T
• Joseph A Crnich, PT, DPT, SCS
• Brittony Croasdell, FNP-BC
• Elizabeth Croce, MD
• Felicia Crocker
• Crockett Counseling PLLC

• Certified Registered Nurse Anesthetist in Chicago, IL
• Providers in Chicago, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.