MS. JILL ANNE JOHNSON (NPI# 1780636100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780636100 |
| Entity Type | Individual |
| Full Name | MS. JILL ANNE JOHNSON |
| Other Name | MS. JILL ANNE JOHNSON |
| Credential | CRNA |
| Practice Address |
1330 Autumn Breeze Cir Gulf Breeze FL 32563-3721 |
| Mailing Address |
1330 Autumn Breeze Circle Gulf Breeze FL 32563-6943 |
| Practice Telephone | 8502881998 |
| Mailing Telephone | 8502881998 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2012-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | ARNP9237672 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 59183488 | 01 |
| AL | BCBS | 59183489 | 01 |
| FL | 307317300 | 05 | |
| FL | BCBS | G3901 | 01 |
| AL | 009935331 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877465 | Jill M Johnson | Naturopath | 214 225th Pl Se, Bothell, WA 98021-8339 | 2020-10-05 |
| 1922612555 | Jill Covington Johnson | Durable Medical Equipment & Medical Supplies | 17098 W Willow Dr, Prairieville, LA 70769-4180 | 2020-09-01 |
| 1063026730 | Jill Johnson | Behavioral Analyst | 3609 W Rose Hill St, Boise, ID 83705-1515 | 2020-09-01 |
| 1144839994 | Jill Brittny Johnson | Counselor | 2840 Nw 31st St, Oklahoma City, OK 73112-7407 | 2020-07-28 |
| 1194341784 | Jill Johnson | Pharmacist | 2966 Pine Grove Ln., Address Line 2, Maineville, OH 45039 | 2020-06-19 |
| 1730739889 | Jill Johnson | Technician | 718 Perryman Ln W, Jacksonville, FL 32221-1543 | 2019-09-19 |
| 1821566803 | Jill A Johnson | Massage Therapist | 263 W Patrick St Ste 2, Frederick, MD 21701-6910 | 2018-11-07 |
| 1649745878 | Jill Marguerite Johnson | Behavior Technician | 50c Las Golondrinas Rd, Santa Fe, NM 87507-4451 | 2018-10-03 |
| 1518441997 | Jill Johnson | Counselor | 29267 N 123rd Dr, Peoria, AZ 85383-4074 | 2018-09-20 |
| 1306232814 | Jill A Johnson | Dental Hygienist | 1600 Lost Creek Rd, Anaconda, MT 59711-9621 | 2015-04-10 |
| Street Address |
1330 AUTUMN BREEZE CIR |
| City | GULF BREEZE |
| State | FL |
| Zip Code | 32563-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588180475 | Sacred Heart Health System, Inc. | Orthopaedic Surgery | 4033 Gulf Breeze Pkwy, Ste D, Gulf Breeze, FL 32563 | 2017-08-22 |
| 1881121457 | Jay Arnold | Dentist | 1480 Tiger Park Ln, Gulf Breeze, FL 32563 | 2017-05-15 |
| 1457506826 | Horace Lindsay Simpson | Surgery | 4435 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2008-11-26 |
| 1972795508 | Barbara Mary Ebel | Anesthesiology | 4435 Gulf Breeze Parkway, Good Samaritan Clinic, Gulf Breeze, FL 32563 | 2007-08-17 |
| 1275670374 | Karen Cann | Physical Therapist | 4657 Gulf Breeze Pkwy., Suites A & B, Gulf Breeze, FL 32563 | 2007-01-30 |
| 1356423719 | Cynthia Urmos | Chiropractor | 2870 Gulf Breeze Parkway, Gulf Breeze, FL 32563 | 2006-10-19 |
| 1538260690 | Donna Theresa Englehart | Counselor | 3463 Sycamore Lane, Gulf Breeze, FL 32563 | 2006-09-25 |
| 1932695475 | Lynette Hale | Nurse Practitioner | 3416 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2018-07-09 |
| 1285136937 | Jessica Roth | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2018-03-07 |
| 1821511544 | Samantha Monroe | Behavior Technician | 3182 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2017-07-25 |
| Find all providers in zip 32563 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144222662 | Mellissa Dianne Pennington | Nurse Anesthetist, Certified Registered | 4 Ocean View Dr, Gulf Breeze, FL 32561-2436 | 2005-08-15 |
| 1376812032 | Ams of Gulf Breeze LLC | Nurse Anesthetist, Certified Registered | 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4884 | 2011-12-23 |
| 1346422524 | Amanda Zbaren | Nurse Anesthetist, Certified Registered | 1040 Gulf Breeze Pkwy, Suite 100, Gulf Breeze, FL 32561-7809 | 2007-11-29 |
| 1568464089 | Robert Lance Pennington | Nurse Anesthetist, Certified Registered | 4 Ocean View Dr, Gulf Breeze, FL 32561-2436 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285231084 | Gasem925 Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 11308 State Road 54 Ste B, Trinity, FL 34655-2294 | 2020-10-05 |
| 1437787207 | Lauren Nicole Stanton | Nurse Anesthetist, Certified Registered | 14892 67th Trl N, West Palm Beach, FL 33418-1960 | 2020-03-29 |
| 1215565197 | Alina Fleites | Nurse Anesthetist, Certified Registered | 12327 Sw 31st Ter, Miami, FL 33175-2258 | 2020-03-27 |
| 1205463510 | Michael Robert Donovan | Nurse Anesthetist, Certified Registered | 102 Morning Dew Cir, Jupiter, FL 33458-5277 | 2020-03-25 |
| 1134756554 | Monica Flores Espada | Nurse Anesthetist, Certified Registered | 410 Evernia St Apt 704, West Palm Beach, FL 33401-5438 | 2020-03-25 |
| 1447887005 | Seth Martin | Nurse Anesthetist, Certified Registered | 11324 Citra Cir Apt 103, Windermere, FL 34786-5950 | 2020-03-24 |
| 1003442070 | Rebecca Bernardo | Nurse Anesthetist, Certified Registered | 481 Moffat Loop, Oviedo, FL 32765-6289 | 2020-03-20 |
| 1639703150 | Jeremy Duckworth | Nurse Anesthetist, Certified Registered | 1073 Bethpage Rd, Auburndale, FL 33823-8408 | 2020-02-24 |
| 1750912572 | Ariane Rochelle Soffron | Nurse Anesthetist, Certified Registered | 9064 Vineyard Lake Dr, Plantation, FL 33324-6132 | 2020-01-30 |
| 1790315307 | Jonathan Vicencio | Nurse Anesthetist, Certified Registered | 88 Emerald Lake Dr, Palm Coast, FL 32137-1311 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
| City | GULF BREEZE |
| Zip Code | 32563 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.