Active NPI
Donna Marie Landriscina, CRNA
- Certified Registered Nurse Anesthetist
- Richmond, VA
National Provider Identifier
1891880308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024105660
- Practice address
- 1602 Skipwith Rd
Richmond, VA 23229-5205 - Phone
- (804) 289-4937
- Fax
- (804) 565-6600
- NPI assigned
- Oct 3, 2006
- 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 | 0024105660 | VA | Primary |
Addresses
Primary practice location
1602 Skipwith Rd
Richmond, VA 23229-5205
Mailing address
1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (804) 289-4937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008949051 | Medicaid | VA |
Other names 1
- Donna Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090312000667 | VA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2163588302 | 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 |
|---|---|---|---|
| 0024105660 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| MCV Associated Physicians | Past | Accepting new patients |
Locations
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500
Organizations & group practices 3
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
- Leesburg, VA
- NPI 1053675199
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424908800000",
"number": "1891880308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 SKIPWITH RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232295205",
"telephone_number": "804-289-4937",
"fax_number": "804-289-4937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 SKIPWITH RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232295205",
"telephone_number": "804-289-4937",
"fax_number": "804-565-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRISCINA",
"first_name": "DONNA",
"middle_name": "MARIE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2015-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024105660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008949051",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DONNA",
"last_name": "JOHNSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.