Active NPI
Alexandria Johnson, CRNA
- Certified Registered Nurse Anesthetist
- Elizabethtown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1180229
- Practice address
- 913 N Dixie Ave
Elizabethtown, KY 42701-2503 - Phone
- (270) 706-1212
- NPI assigned
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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
- Louisville, KY
- NPI 1992212807
KY, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Kentucky School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Anesthesia Services of Kentucky PLLC
Practice addresses (Care Compare)
200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000
913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-1212
Hospital & facility affiliations
- Baptist Health Hardin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220324000611 | KY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3375938681 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1180229 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Anesthesia Services of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500
4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1180229 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
913 N Dixie Ave
Elizabethtown, KY 42701-2503
Mailing address
7000 Harris Hills LN Apt 412
Nashville, TN 37211-3279
Phone (573) 608-0022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 10, 2023.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1861160244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 HARRIS HILLS LN APT 412",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372113279",
"telephone_number": "573-608-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 N DIXIE AVE",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012503",
"telephone_number": "270-706-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ALEXANDRIA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2023-04-10",
"certification_date": "2023-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1180229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.