Active NPI
Jimmie Johnson II, CRNA
- Certified Registered Nurse Anesthetist
- Belton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 684289
- Practice address
- 501 Marshall Dr
Belton, TX 76513-3779 - Phone
- (254) 338-5473
- Fax
- (254) 613-4064
- NPI assigned
- Apr 6, 2006
- Last updated
- Nov 11, 2008
- Sex
- Male
- 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 | 684289 | TX | Primary |
Addresses
Primary practice location
501 Marshall Dr
Belton, TX 76513-3779
Mailing address
501 Marshall Dr
Belton, TX 76513-3779
Phone (254) 338-5473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1738 E Common St
New Braunfels, TX 78130-6059
Phone (830) 643-8600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 684289 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lone Star Anesthesia Partners PLLC | Current | Accepting new patients | |
| Anesthesia Associates of Seguin PLLC | Current | Accepting new patients | |
| Palo Pinto County Hospital District | Current | Accepting new patients | |
| Palo Pinto County Hospital District | Current | Accepting new patients | |
| Palo Pinto County Hospital District | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Palo Pinto County Hospital District | Current | Accepting new patients | |
| M. Reza Mizani, M.D., P.a. | Past | Accepting new patients |
Locations
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2068
400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891
1738 E Common St
New Braunfels, TX 78130
Phone (210) 705-5715
423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411
1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Seguin, TX
- NPI 1265458673
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1124760996
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
dba Palo Pinto General Hospital
- Anesthesiology Physician
- Mineral Wells, TX
- NPI 1841258076
Nurse Anesthetist, Certified Registered
-
dba Palo Pinto General Hospital Pulmonology
- Cardiovascular Disease Physician
- Mineral Wells, TX
- NPI 1366400582
-
dba Palo Pinto Mobile Clinic
- Family Medicine Physician
- Mineral Wells, TX
- NPI 1376278366
-
dba Community Care Center
- Family Medicine Physician
- Mineral Wells, TX
- NPI 1922056993
-
dba South Texas Renal Care Group
- Nephrology Physician
- San Antonio, TX
- NPI 1497813331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.