Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glade Warren Johnson, CRNA, BSN

Individual provider Certified Registered Nurse Anesthetist · NPI 1609654219

Glade Warren Johnson, CRNA, BSN is a Certified Registered Nurse Anesthetist (CRNA) in Goodyear, Arizona. Qualified in 2023, 3 years ago. Practices with Salt Creek Anesthesia PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Arizona and Utah.

Years since qualifying
3
Licensed in
AZ, UT
In the registry since
2023
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.
BSN — Bachelor of Science in Nursing
A four-year nursing degree.

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Practice location Address checks out

13677 W McDowell Rd
Goodyear, AZ 85395-2635
Phone: (623) 882-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 297873 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence 10836809-3102 (UT)

Record details

NPI number1609654219
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA , BSN
Sole proprietorYes
NPI enumeratedSeptember 15, 2023
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Salt Creek Anesthesia Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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