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

Lisa R. Johnson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1164795993

Lisa R. Johnson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Saint Louis, Missouri. Qualified in 2017, 9 years ago. Practices with Grady Memorial Hospital Corporation, a 363-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Missouri.

Years since qualifying
9
Licensed in
GA, MO
In the registry since
2012
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone: (314) 996-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2053 Reflection Creek Dr, Conyers, GA 30013-7423 — (678) 371-9187

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2024007274 (MO)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN177866 (GA)

Record details

NPI number1164795993
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedFebruary 9, 2012
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Grady Memorial Hospital Corporation — 363 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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