Individual provider Active NPI

John Jared Harden, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Walton Beach, FL
National Provider Identifier
1881086478
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA18300007 Issued in ME
Practice address
572 L Ombre Cir NE
Fort Walton Beach, FL 32547-1800
Phone
(251) 689-3322
NPI assigned
Feb 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9214460 FL
Certified Registered Nurse Anesthetist 367500000X RNA18300007 ME Primary

Addresses

Primary practice location

572 L Ombre Cir NE
Fort Walton Beach, FL 32547-1800

Mailing address

572 L Ombre Cir NE
Fort Walton Beach, FL 32547-1800

Other practice location 1

1 Medical Center Dr
Biddeford, ME 04005-9422
Phone (207) 283-7042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150612001495 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840501185 Reassigns benefits to 8 organizations
I20201117000444 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840501185 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP9214460FLMDCertified Registered Nurse Anesthetist
RNA18300007MEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Lucie Anesthesia Associates, LLC CurrentSince Feb 20, 2018 Accepting new patients
BMR Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC CurrentSince Jan 1, 2018 Accepting new patients
St Lucie Anesthesia Associates LLC CurrentSince Feb 20, 2018 Accepting new patients
Providence Hospital CurrentSince Oct 12, 2020 Accepting new patients
Ams Baptist LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2017 Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Mar 24, 2021 Accepting new patients
Ams of Gulf Breeze LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2017 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC CurrentSince Jan 1, 2018 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jul 6, 2020 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jul 6, 2020 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Ams Anesthetist Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2019 Accepting new patients
Providence Hospital Current Accepting new patients

Locations (25 of 27)

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

182 E Redstone Ave
Ste A
Crestview, FL 32539
Phone (850) 266-7500

180 E Redstone Ave
Crestview, FL 32539

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020

4485 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 720-3188

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

4585 E Highway 20
Ste 125
Niceville, FL 32578
Phone (850) 426-5191

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

1600 Jenks Ave
Ste 1
Panama City, FL 32405
Phone (855) 524-7246

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

1502 Creighton Rd
Ste A
Pensacola, FL 32504
Phone (850) 437-3777

511 Hewitt St
Pensacola, FL 32503
Phone (850) 912-6505

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

1851 N 9th Ave
Ste B
Pensacola, FL 32503
Phone (850) 479-4223

4600 N Davis Hwy
Pensacola, FL 32503
Phone (850) 202-1118

5102 N Davis Hwy
Pensacola, FL 32503
Phone (850) 484-8800

1549 Airport Blvd
Ste 420
Pensacola, FL 32504
Phone (850) 484-8800

1502 Creighton Rd
Ste C
Pensacola, FL 32504
Phone (850) 437-3777

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1881086478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 L OMBRE CIR NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 L OMBRE CIR NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471800",
            "telephone_number": "251-689-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040059422",
            "country_code": "US",
            "telephone_number": "207-283-7042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDEN",
        "first_name": "JOHN",
        "middle_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-19",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9214460",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA18300007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.