KEITH E JACKSON (NPI# 1205866142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205866142 |
| Entity Type | Individual |
| Full Name | KEITH E JACKSON |
| Credential | CRNA |
| Practice Address |
100 Rice Mine Rd N Tuscaloosa AL 35406-2300 |
| Mailing Address |
712 Robin Rd Birmingham AL 35214-3524 |
| Practice Telephone | 2053540010 |
| Mailing Telephone | 2052138420 |
| Mailing Fax Number | 2057985918 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 1-080730 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407491673 | Keith Jackson | Home Health | 2934 Pelzer Ave, Montgomery, AL 36109-2147 | 2019-11-12 |
| 1871935569 | Keith Daniel Jackson | Dentist | 10868 Us Highway 15 501, Southern Pines, NC 28387-5149 | 2013-07-23 |
| 1720263031 | Keith Edward Jackson | Nurse Practitioner | 11114 Endicott Ln, Houston, TX 77035-3007 | 2008-01-04 |
| 1225016454 | Keith Jackson | Otolaryngology | 1360 Upper Hembree Rd Ste 201b, Roswell, GA 30076-1230 | 2006-01-06 |
| 1184278129 | Keith T. Jackson | Physical Therapist | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2019-07-29 |
| 1326527045 | Keith Allen Jackson | Physician Assistant | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2018-08-13 |
| 1457837551 | Keith Jackson | Case Manager/Care Coordinator | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2018-07-12 |
| 1952890030 | Keith Wesley Jackson | Pharmacist | 1900 Carew St Ste 4, Fort Wayne, IN 46805-4765 | 2018-05-04 |
| 1033557228 | Keith L Jackson | Rehabilitation Practitioner | 7381 Prairie Falcon Rd, Las Vegas, NV 89128-0811 | 2013-06-10 |
| 1033461280 | Keith Darnell Jackson | Social Worker | 7550 Constantinople Ave, Las Vegas, NV 89129-6505 | 2012-10-12 |
| Street Address |
100 RICE MINE RD N |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35406-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720568363 | Kristin Moudry | Nurse Practitioner | 100 Rice Mine Rd N, Tuscaloosa, AL 35406-2300 | 2018-08-14 |
| 1093263519 | Biogastrex, LLC | Internal Medicine | 100 Rice Mine Rd N, Suite E, Tuscaloosa, AL 35406-2300 | 2016-09-13 |
| 1326447236 | Tc Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 100 Rice Mine Rd N, Suite E, Tuscaloosa, AL 35406-2300 | 2014-08-15 |
| 1790101541 | Institute of Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 100 Rice Mine Rd N, Suite E, Tuscaloosa, AL 35406-2300 | 2014-03-17 |
| 1114362365 | Anesthesia Services of Alabama Inc | Anesthesiology | 100 Rice Mine Rd N, Ste E, Tuscaloosa, AL 35406-2375 | 2013-05-01 |
| 1467739235 | Linda C Canterbury | Nurse Practitioner | 100 Rice Mine Rd N, Suite B, Tuscaloosa, AL 35406-2300 | 2011-11-08 |
| 1821390600 | Toni J Savage | Nurse Practitioner | 100 Rice Mine Rd N, Suite E, Tuscaloosa, AL 35406-2300 | 2010-11-29 |
| 1154654374 | Tracy Christian Grissett | Nurse Practitioner | 100 Rice Mine Rd N, Suite B, Tuscaloosa, AL 35406-2300 | 2009-09-08 |
| 1306083936 | Gopal K Kaza | Internal Medicine | 100 Rice Mine Rd N, Suite E, Tuscaloosa, AL 35406-0839 | 2009-01-20 |
| 1275725673 | Gastroenterology Consultants of Tuscaloosa Inc | Clinic/Center | 100 Rice Mine Rd N, Ste E, Tuscaloosa, AL 35406-2375 | 2007-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134757735 | Susan Tingle Mills | Counselor | 1470 Northbank Parkway, Tuscaloosa, AL 35406 | 2020-03-30 |
| 1508416314 | Carehere LLC | Family Medicine | Carehere Clinic-mercedes Tuscaloosa Health and Wellness, 971 Fairfax Park, Suite B, Tuskaloosa, AL 35406 | 2019-09-13 |
| 1093275364 | Medfusions | Nurse Anesthetist, Certified Registered | 120 Rice Mine Road N, Tuscaloosa, AL 35406 | 2019-03-22 |
| 1891144259 | Gregory Chad Green, Od, PC | Optometrist | 1490 Northbank Parkway, Suite 120, Tuscaloosa, AL 35406 | 2016-06-07 |
| 1164767083 | First Care LLC | Clinic/Center | 1251 Mcfarland Blvd. Ne, Tuscaloosa, AL 35406 | 2012-12-04 |
| 1144520487 | Ladonna Demetrice Snider | Registered Nurse | 825 Rice Mine Road No., Tuscaloosa, AL 35406 | 2010-11-02 |
| 1699923102 | Nancy M. Tactuk Romanenko | Internal Medicine | 1015 Rice Valley Rd N, Tuscaloosa, AL 35406 | 2008-09-09 |
| 1912042433 | Patrick Bruce Atkins | Psychiatry & Neurology | 1649 Mcfarland Boulevard North, Suite 201, Tuscaloosa, AL 35406 | 2007-02-21 |
| 1073663555 | Mark Linden Prohaska | Clinical Neuropsychologist | 100 Rice Mine Road, Suite 303, Tuscaloosa, AL 35406 | 2007-01-10 |
| 1225197155 | Jane Watkins Phd | Counselor | 150 Rice Mine Road, Suite B, Tuscalcosa, AL 35406 | 2006-12-06 |
| Find all providers in zip 35406 | ||||
| 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 |
|---|---|---|---|---|
| 1093275364 | Medfusions | Nurse Anesthetist, Certified Registered | 120 Rice Mine Road N, Tuscaloosa, AL 35406 | 2019-03-22 |
| 1205888112 | Rachelle T Thompson Nix | Nurse Anesthetist, Certified Registered | 5329 3rd Ct E, Tuscaloosa, AL 35405-5008 | 2006-05-17 |
| 1982657557 | Jennifer Gamble | Nurse Anesthetist, Certified Registered | 1400 Mcfarland Blvd N, Tuscaloosa, AL 35406-2209 | 2006-05-17 |
| 1912532664 | Clint Winfield Miller | Nurse Anesthetist, Certified Registered | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2020-03-03 |
| 1881150738 | Tyler Matthew Elmore | Nurse Anesthetist, Certified Registered | 809 University Blvd E, Tuscaloosa, AL 35401-2071 | 2019-02-15 |
| 1578064085 | Stephanie Kay Mcwhorter Shah | Nurse Anesthetist, Certified Registered | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2018-02-21 |
| 1205336393 | Laura Carter Foster | Nurse Anesthetist, Certified Registered | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2018-02-15 |
| 1770092421 | G I Associates of West Alabama PC | Nurse Anesthetist, Certified Registered | 301 Rice Mine Rd Ne, Tuscaloosa, AL 35406-2403 | 2017-09-26 |
| 1750805610 | Kyle Boswell | Nurse Anesthetist, Certified Registered | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2017-08-01 |
| 1275079287 | Vanessa Miriam Brown | Nurse Anesthetist, Certified Registered | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2017-01-13 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35406 |
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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.