Active NPI
Joann Russo, CRNA
- Certified Registered Nurse Anesthetist
- Marietta, GA
National Provider Identifier
1861590069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN049042
- Practice address
- 2540 Windy Hill Rd SE
Marietta, GA 30067-8605 - Phone
- (770) 644-1274
- NPI assigned
- Sep 20, 2006
- Last updated
- Jan 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN049042 | GA | Primary |
Addresses
Primary practice location
2540 Windy Hill Rd SE
Marietta, GA 30067-8605
Mailing address
PO Box 932840
Atlanta, GA 31193-2840
Phone (800) 749-2940
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRP757 | Other | GA | MEDICARE GROUP |
| 738385939A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windy Hill Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Marietta, GA
- NPI 1467514943
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327795200000",
"number": "1861590069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932840",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311932840",
"telephone_number": "800-749-2940",
"fax_number": "706-660-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 WINDY HILL RD SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678605",
"telephone_number": "770-644-1274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "JOANN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2012-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN049042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "GRP757",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "738385939A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.