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

Kord Johnson

Individual provider Registered Nurse · NPI 1306427380

Kord Johnson is a Certified Registered Nurse Anesthetist (CRNA) in Mesa, Arizona. Qualified in 2021, 5 years ago. Practices with Northwest Hbp Medical Services LLC, a 286-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

10116 E Tarragon Ave
Mesa, AZ 85212-8416
Phone: (480) 313-8783
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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 135172 (WA)
Registered Nurse Taxonomy 163W00000X · Licence 60455959 (WA)

Record details

NPI number1306427380
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2021
Last updated in NPPESJune 5, 2021
Certification dateJune 5, 2021
Mailing address10116 E Tarragon Ave, Mesa, AZ 85212-8416

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Northwest Hbp Medical Services Llc — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mesa