MR. LARRY G JOHNSON CRNA
NPI 1407819725
Nurse Anesthetist, Certified Registered in Greeneville, TN

Q: What is Larry Johnson's NPI number?

The NPI number for Larry Johnson is 1407819725. It was assigned to this individual provider in the NPPES registry on April 8, 2006.

Q: What is Larry Johnson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Larry Johnson was last updated on August 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 08, 2006

1104 TUSCULUM BLVD, SUITE 303, GREENEVILLE, TN 37745(423) 636-8600(423) 636-8892 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Larry G Johnson Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LARRY G JOHNSON CRNA (NPI 1407819725) is an individual nurse anesthetist, certified registered in Greeneville, Tennessee, licensed in Tennessee (RN0000030838) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1407819725

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. LARRY G JOHNSONCredential: CRNA

Location Address1104 TUSCULUM BLVD, SUITE 303Greeneville, TN 37745-4091

Mailing Address1104 Tusculum Blvd, Suite 303Greeneville, TN 37745-4091 · (423) 636-8600 · Fax (423) 636-8892

Phone(423) 636-8600

Fax(423) 636-8892

Sole ProprietorNo

Enumeration DateApril 8, 2006

Last NPPES UpdateAugust 13, 2008

✔ NPI 1407819725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TN · RN0000030838

Definition

(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.

1104 TUSCULUM BLVD, Greeneville, TN 37745

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Other Identifiers 4

Other0177990TN · Bcbs Of Tn

Medicare ID-Type Unspecified3600909TN

Other8050485TN · Nc Medicaid

Medicaid3600909TN

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INNOVATIVE SLEEP DIAGNOSTICS, LLC

Clinic/Center (Sleep Disorder Diagnostic)

1104 TUSCULUM BLVD, STE 301
GREENEVILLE, TN 37745

Greene County (423) 764-1579

DR. HEATHER COLLEEN GOW PSY.D.

Psychologist (Health Service)

1104 TUSCULUM BLVD, SUITE 118
GREENEVILLE, TN 37745

Greene County (423) 783-7995

PULMACARE INC

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

1104 TUSCULUM BLVD, SUITE 316
GREENEVILLE, TN 37745

Greene County (423) 798-0700

MR. JOHN Q WESTBROOK III CRNA