John Grady Johnston Jr., DNP

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

55422 Issued in NM

Practice address

42121 US Highway 70
Portales, NM 88130-9054

Phone

(575) 359-1800

NPI assigned

Jul 18, 2018

Last updated

Apr 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Main Street Anesthesia of New Mexico, LLCGroup PAC ID 3476807538, 228 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lovelace Regional Hospital - Roswell Hospital, Roswell, NM, CCN 320086

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Main Street Anesthesia of New Mexico, LLC

  • Anesthesiology Physician
  • Albuquerque, NM
  • NPI 1275010985
  Medicare reassignment Care Compare group NPD
• Otero County Hospital Association

  dba CHRISTUS Southern New Mexico

  • General Acute Care Hospital
  • Alamogordo, NM
  • NPI 1861450579
  Medicare reassignment NPD
• Sleepy Plains Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Clovis, NM
  • NPI 1265090344

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Otero County Hospital Association

  dba CHRISTUS Pharmacy (Downtown)

  • Community/Retail Pharmacy
  • Alamogordo, NM
  • NPI 1235948803
  NPD

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

• Lovelace Health System LLC

  dba Lovelace Regional Hospital-Roswell

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1972878361
  Care Compare affiliation

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1700362183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 VIALE BOND",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015874",
            "telephone_number": "731-616-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42121 US HIGHWAY 70",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881309054",
            "telephone_number": "575-359-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JOHN",
        "middle_name": "GRADY",
        "name_suffix": "Jr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "120003",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "55422",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041465807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nena Richelle Ireland
• Hilary Ishii, ATC,LAT
• Ryli M Johns
• Deonte Johnson
• Lisa L Johnson
• Christina Diane Johnstone
• Marie Joiner
• Roxie Joyner, MA, LPCC, NCC
• Lydia Kakuze
• Amna K Kazi

• Certified Registered Nurse Anesthetist in Portales, NM
• Providers in Portales, NM by specialty
• Certified Registered Nurse Anesthetist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.