Jimmie Johnson II, CRNA

Key facts

NPI

1932162575

Entity type

Individual (NPI type 1)

Primary specialty

Certified Registered Nurse Anesthetist 367500000X

License

684289 (TX)

Practice address

501 Marshall Dr
Belton, TX 76513-3779

Phone

(254) 338-5473

Fax

(254) 613-4064

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 8

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.

• Anesthesia Associates of Seguin PLLC Anesthesiology Physician · Seguin, TX · NPI 1265458673
  Medicare reassignment Care Compare group NPD TX
• Lone Star Anesthesia Partners PLLC Anesthesiology Physician · San Antonio, TX · NPI 1124760996
  Medicare reassignment NPD TX
• Northstar Anesthesia, PA Anesthesiology Physician · Arlington, TX · NPI 1912978610
  Medicare reassignment NPD NURSE ANESTHETIST, CERTIFIED REGISTERED · TX
• Palo Pinto County Hospital District Anesthesiology Physician · Mineral Wells, TX · NPI 1841258076
  Medicare reassignment NPD NURSE ANESTHETIST, CERTIFIED REGISTERED · TX
• Palo Pinto County Hospital District Cardiovascular Disease Physician · Mineral Wells, TX · NPI 1366400582
  NPD
• Palo Pinto County Hospital District Family Medicine Physician · Mineral Wells, TX · NPI 1376278366
  NPD
• Palo Pinto County Hospital District Family Medicine Physician · Mineral Wells, TX · NPI 1922056993
  NPD
• M. Reza Mizani, M.D., P.a. Nephrology Physician · San Antonio, TX · NPI 1497813331
  NPD (past)

Medicare Care Compare profile

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Associates of Seguin PLLC (24 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 11, 2008.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1932162575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MARSHALL DR",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765133779",
            "telephone_number": "254-338-5473",
            "fax_number": "254-613-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARSHALL DR",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765133779",
            "telephone_number": "254-338-5473",
            "fax_number": "254-613-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JIMMIE",
        "name_suffix": "II",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "684289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, TX

• Aaron Ricado James Jr., LPC
• Kayleigh Janak, OTR
• Erin R Jeanes, FNP
• Maggie Jirik
• Brianne Johnson, OTR
• Jaime Jones, LCSW
• Leah Jones, RBT
• Michael Dwight Jones, PHARMACY TECHNICIAN
• Joshua Tree Autism Services
• Brittany Joyner

All providers in Belton, TX · Certified Registered Nurse Anesthetist in Texas