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

MS. Amanda Sue John, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1164409124

MS. Amanda Sue John, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Newark, Ohio. Graduated from Georgetown University School of Medicine in 2001, 25 years ago. Practices with Licking Memorial Professional Corporation, a 235-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
25
Trained at
Georgetown University School of Medicine
Licensed in
OH
In the registry since
2005
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

1320 W Main St
Newark, OH 43055-1822
Phone: (220) 564-4226
Fax: (220) 564-4217
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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 COA-12359-NA (OH)

Record details

NPI number1164409124
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 29, 2005
Last updated in NPPESDecember 9, 2022
Certification dateDecember 9, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Licking Memorial Professional Corporation — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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