AMY ANNE JACKSON (NPI# 1114473824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114473824 |
| Entity Type | Individual |
| Full Name | AMY ANNE JACKSON |
| Other Name | AMY ANNE TYCZYNSKI |
| Credential | CRNA |
| Practice Address |
1515 Holcombe Blvd Houston TX 77030-4009 |
| Mailing Address |
P O Box 4439 Houston TX 77210-4439 |
| Practice Telephone | 7137926161 |
| Mailing Telephone | 7137922991 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP131169 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 367765001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027134 | Amy Lynn Jackson | In Home Supportive Care | 812 County Road 24 N, De Graff, OH 43318-9716 | 2020-09-15 |
| 1508489097 | Amy E Jackson | Social Worker | 102 Sloan Rd, Nashville, TN 37209-4636 | 2020-05-19 |
| 1780117804 | Amy Jackson | Counselor | 3590 Mary Ader Ave Apt 1021, Charleston, SC 29414-5792 | 2017-04-05 |
| 1598116568 | Amy Jackson | Behavioral Analyst | 936 Central St Rear Unit, Framingham, MA 01701-4816 | 2016-06-30 |
| 1972866085 | Amy J Jackson | Nurse Practitioner | 2701 W North St Ste B, Muncie, IN 47303-3415 | 2012-06-22 |
| 1881754877 | Amy Jackson | Dentist | 14855 Blanco Rd Ste 109, San Antonio, TX 78216-7728 | 2006-12-11 |
| 1033155106 | Amy Marie Jackson | Family Medicine | 2731 Maguire Rd, Ocoee, FL 34761-4797 | 2006-06-20 |
| 1699772954 | Amy Elizabeth Jackson | Physician Assistant | 1124 Medical Pl, Seymour, IN 47274-2640 | 2005-07-01 |
| 1285235242 | Amy Fay Jackson | Nurse Practitioner | 4411 Medical Dr Ste 300, San Antonio, TX 78229-3824 | 2020-11-05 |
| 1376141747 | Amy Michele Jackson | Community Health Worker | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-10-16 |
| Street Address |
1515 HOLCOMBE BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102126 | Najat Daw Bitar | Pediatrics | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2005-05-23 |
| 1447851852 | Jamie Dockery | Registered Nurse | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-11-03 |
| 1912507138 | Evelin Lidiet Umanzor | Nurse Practitioner | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-10-27 |
| 1285232447 | Federico A Oppliger Boettcher | Student in an Organized Health Care Education/Training Program | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-10-10 |
| 1043817026 | Lovette Noble Alegado | Nurse Practitioner | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-10-03 |
| 1578179297 | Reem Karami | Student in an Organized Health Care Education/Training Program | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-09-17 |
| 1093328973 | Shaun Brian Tindall II | Nurse Anesthetist, Certified Registered | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-28 |
| 1649882879 | Luana Guimaraes De Sousa | Student in an Organized Health Care Education/Training Program | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-19 |
| 1225648934 | Karizza J Cruz | Registered Nurse | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-06 |
| 1023628377 | Damaris Masila | Registered Nurse | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155887 | Health Guard Anesthesia Services (hgas) | Nurse Anesthetist, Certified Registered | 7741 Tanglewilde St Ste 100, Houston, TX 77036-5565 | 2020-08-18 |
| 1952911661 | Anesthesia Providers of Houston Pllc | Nurse Anesthetist, Certified Registered | 1446 Campbell Rd Ste 290, Houston, TX 77055-4604 | 2020-08-06 |
| 1962042275 | Leah Okoth | Nurse Anesthetist, Certified Registered | 3121 Buffalo Speedway Apt 7409, Houston, TX 77098-1860 | 2020-01-14 |
| 1508332362 | Houston Metro Anesthesia, Pa | Nurse Anesthetist, Certified Registered | 7789 Southwest Fwy Ste 200, Houston, TX 77074-1831 | 2018-10-19 |
| 1346739810 | Amy Celeste Metoyer | Nurse Anesthetist, Certified Registered | 6703 Winton St, Houston, TX 77021-2428 | 2018-05-09 |
| 1255835328 | Greater Heights Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 1631 North Loop W Ste 655, Houston, TX 77008-1599 | 2018-03-22 |
| 1073012068 | Brandon C. Cervantes | Nurse Anesthetist, Certified Registered | 1500 Citywest Blvd. Ste. 300, Houston, TX 77042 | 2018-02-06 |
| 1639685407 | Momentum Anesthesia Group Pllc | Nurse Anesthetist, Certified Registered | 1233 Campbell Rd Ste 200, Houston, TX 77055-6453 | 2017-12-15 |
| 1245683309 | Crystal Anesthesia Service, Pllc | Nurse Anesthetist, Certified Registered | 950 Threadneedle St Ste 250, Houston, TX 77079-2910 | 2016-07-13 |
| 1972964476 | Josipa Kukucka | Nurse Anesthetist, Certified Registered | 2014 Dennis St, Houston, TX 77004-1322 | 2016-03-10 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.