Individual ProviderShayna Beth JohnsonNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1100 9th Ave, B2-An, Seattle, WA 98101-2756(206) 223-6600PECOS EnrollmentBased on the most recent information from CMS, provider Shayna Beth Johnson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1992028062Provider TypeIndividualFull NameJohnson, Shayna BethTitleMrs.CredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date3/3/2010Last Updated8/27/2013Contact InformationPractice LocationPractice Address1100 9th Ave, B2-An, Seattle, WA 98101-2756Phone(206) 223-6600FaxUnlisted FaxMailing LocationMailing Address1100 9th Ave, Ms: M4-Pfs, Seattle, WA 98101-2756Phone(206) 223-6600FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP60140263Washington