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

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