Active NPI
David K Johnson, CRNA
- Certified Registered Nurse Anesthetist
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024184236
- Practice address
- 4520 Montgomery Blvd NE Ste 6
Albuquerque, NM 87109-1291 - Phone
- (505) 308-3145
- Fax
- (505) 308-3147
- NPI assigned
- Mar 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 668015 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | CRNA-01467 | NM | |
| Certified Registered Nurse Anesthetist | 367500000X | AP128885 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024184236 | VA | Primary |
Addresses
Primary practice location
4520 Montgomery Blvd NE Ste 6
Albuquerque, NM 87109-1291
Mailing address
4520 Montgomery Blvd NE Ste 6
Albuquerque, NM 87109-1291
Phone (505) 308-3145
Other practice location 1
2604 Saint Michael Dr Ste 301
Texarkana, TX 75503-2378
Phone (903) 614-5122
Other practice location 2
801 West Maple Street
Farmington, NM 87401-1291
Phone (505) 609-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM, VA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Dr Martin Luther King Jr Ave NE
Lovelace Medical Center
Albuquerque, NM 87102-3619
Phone (505) 727-8000
801 W Maple St
San Juan Regional Hospitalist
Farmington, NM 87401-5630
Phone (505) 609-6463
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 668015 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Main Street Anesthesia of New Mexico, LLC | Current | Accepting new patients | |
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Resource Anesthesiology Associates of NM Inc | Current | Accepting new patients | |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| Trinity Clinic | Past | Accepting new patients |
Locations
504 Elm St NE
Albuquerque, NM 87102
Phone (505) 724-2000
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
7519 Hospital Dr
Gloucester, VA 23061
Phone (804) 693-8800
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1275010985
-
- Gastroenterology Physician
- Farmington, NM
- NPI 1639662901
-
- Anesthesiology Physician
- Farmington, NM
- NPI 1386929644
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Emergency Medicine Physician
- Farmington, NM
- NPI 1518932151
-
- Family Medicine Physician
- Farmington, NM
- NPI 1710589015
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Family Medicine Physician
- Tyler, TX
- NPI 1922058304
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roswell, NM
- NPI 1972878361
-
- General Acute Care Hospital
- Roswell, NM
- NPI 1447221742
-
- Rehabilitation Hospital Unit
- Farmington, NM
- NPI 1326663592
-
- General Acute Care Hospital
- Farmington, NM
- NPI 1427058510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1740674894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4520 MONTGOMERY BLVD NE STE 6",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091291",
"telephone_number": "505-308-3145",
"fax_number": "505-308-3147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4520 MONTGOMERY BLVD NE STE 6",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091291",
"telephone_number": "505-308-3145",
"fax_number": "505-308-3147"
}
],
"practiceLocations": [
{
"address_1": "2604 Saint Michael Dr Ste 301",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "TX",
"postal_code": "755032378",
"country_code": "US",
"telephone_number": "903-614-5122",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 West Maple Street",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "NM",
"postal_code": "874011291",
"country_code": "US",
"telephone_number": "505-609-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "DAVID",
"middle_name": "K",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-26",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "668015",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "CRNA-01467",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP128885",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024184236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.