MS. AMANDA JACKSON (NPI# 1376106591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376106591 |
| Entity Type | Individual |
| Full Name | MS. AMANDA JACKSON |
| Credential | CRNA |
| Practice Address |
300 Werner St Hot Springs AR 71913-6406 |
| Mailing Address |
6119 Midtown Ave Ste 201 Little Rock AR 72205-5316 |
| Practice Telephone | 5016644532 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R094191 | AR | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 121349 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669008397 | Amanda Jackson | Pharmacist | 1418a W Main St Ste A, Lebanon, TN 37087-3114 | 2020-03-13 |
| 1730692765 | Amanda Lyn Jackson | Occupational Therapist | 2222 S Rockport Rd, Boonville, IN 47601-7926 | 2017-11-13 |
| 1982143467 | Amanda Jackson | Occupational Therapist | 5305 Reserve Dr Ne, Brookhaven, GA 30319-5924 | 2017-02-17 |
| 1528309473 | Amanda Nicole Jackson | Licensed Practical Nurse | 923 Cottage Ave, Miamisburg, OH 45342-1805 | 2013-03-01 |
| 1013254887 | Amanda Meister Jackson | Pharmacist | 10358 Riverside Dr Ste 140, Palm Beach Gardens, FL 33410-4203 | 2013-01-13 |
| 1285905240 | Amanda Jackson | Occupational Therapist | 1760 Turning Leaf Trl, Haughton, LA 71037-9531 | 2012-01-23 |
| 1245368661 | Amanda L Jackson | Physical Therapist | 17 Carlton Rd, Hutchinson, KS 67502-4423 | 2007-02-28 |
| 1861452112 | Amanda Elizabeth Jackson | Occupational Therapist | 121 Cox St, Benton, AR 72015-4611 | 2006-03-23 |
| 1437763638 | Amanda Jackson | Pharmacist | 7301 Theodore Dawes Rd, Theodore, AL 36582-4029 | 2020-09-04 |
| 1205460045 | Amanda Jackson | Registered Nurse | 940 W Mount Vernon St Ste 220, Nixa, MO 65714-9613 | 2020-03-02 |
| Street Address |
300 WERNER ST |
| City | HOT SPRINGS |
| State | AR |
| Zip Code | 71913-6406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051663 | Charles S Lane IIi | Psychiatry & Neurology | 300 Werner St, Hot Springs, AR 71913-6406 | 2005-05-23 |
| 1952921215 | Nicholas Andrew Ware | Nurse Anesthetist, Certified Registered | 300 Werner St, Hot Springs, AR 71913-6406 | 2020-04-16 |
| 1366080061 | Rajamani Subbiah | Physical Therapist | 300 Werner St, Hot Springs, AR 71913-6406 | 2019-12-13 |
| 1083102446 | John Miles | Nurse Anesthetist, Certified Registered | 300 Werner St, Hot Springs, AR 71913 | 2018-05-01 |
| 1548758089 | David Paul Fraze | Nurse Anesthetist, Certified Registered | 300 Werner St, Hot Springs, AR 71913 | 2018-04-30 |
| 1124550090 | Daniel Anderson Smith | Emergency Medicine | 300 Werner St, Hot Springs, AR 71913-6406 | 2017-03-30 |
| 1740712066 | Kathryn Elizabeth Speights | Nurse Anesthetist, Certified Registered | 300 Werner St, Hot Springs, AR 71913-6406 | 2017-03-28 |
| 1225569080 | Patrick Flynn | Registered Nurse | 300 Werner St, Hot Springs, AR 71913-6406 | 2017-03-23 |
| 1447603691 | Matthew Barker | Emergency Medical Technician, Paramedic | 300 Werner St, Hot Springs, AR 71913-6406 | 2016-07-22 |
| 1275980237 | Yidong Chen | Emergency Medicine | 300 Werner St, Hot Springs, AR 71913-6406 | 2016-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548722028 | Stephen L Bodemann M.d. Ltd | Internal Medicine | 1636 Higdon Ferry Road, Hot Springs, AR 71913 | 2019-04-03 |
| 1164986600 | Whitley Bryant | Behavior Technician | 219 Rockwell St, Hot Springs, AR 71913 | 2019-01-29 |
| 1841760436 | Lauren Danielle Bolding | Occupational Therapist | 4328 Central Ave Suite M, Hot Springs, AR 71913 | 2018-11-27 |
| 1164906673 | Rebecca Lynne Cleveland | Occupational Therapy Assistant | 181 Cornerstone, Hot Springs, AR 71913 | 2018-09-20 |
| 1689160293 | American Oncology Partners, P.a. | Internal Medicine | 1455 Higdon Ferry Rd Ste B, Hot Springs, AR 71913 | 2018-07-06 |
| 1932694692 | Healthstar Physicians of Hot Springs, Pllc | Radiology | 120 Adcock Rd Ste B, Hot Springs, AR 71913 | 2018-06-26 |
| 1043708001 | Statco-palmer, Inc | Audiologist | 4501 Central Avenue, Suite 174, C-6, Hot Springs, AR 71913 | 2018-04-25 |
| 1083133532 | Laken Nicolle Baldwin | Physical Therapist | 1635 Higdon Ferry Road, Ste G, Hot Springs, AR 71913 | 2017-09-15 |
| 1316463730 | Arkansas Home Care Assistance, LLC | In Home Supportive Care | 3955 Central Ave Ste 4, Hot Springs National Park, AR 71913 | 2017-08-17 |
| 1336675701 | Joni Westbrook | Case Manager/Care Coordinator | 154 Cornerstone, Hot Springs, AR 71913 | 2017-05-04 |
| Find all providers in zip 71913 | ||||
| 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 |
|---|---|---|---|---|
| 1710914387 | Edna Mae Wilmoth | Nurse Anesthetist, Certified Registered | 117 Drake Ln, Hot Springs, AR 71913-7874 | 2006-06-27 |
| 1114915154 | Michael P Sawyer | Nurse Anesthetist, Certified Registered | 1636 Higdon Ferry Rd, Mlk Boulevard, Hot Springs, AR 71913-6912 | 2005-10-13 |
| 1326036609 | Ben L Beck | Nurse Anesthetist, Certified Registered | 420 Bayshore Dr, Hot Springs, AR 71901-9244 | 2005-10-11 |
| 1952921215 | Nicholas Andrew Ware | Nurse Anesthetist, Certified Registered | 300 Werner St, Hot Springs, AR 71913-6406 | 2020-04-16 |
| 1578026688 | Stephanie Buendia | Nurse Anesthetist, Certified Registered | 1910 Malvern Ave, Hot Springs, AR 71901-7752 | 2019-04-08 |
| 1679061048 | Bobby Joe Easterling Jr. | Nurse Anesthetist, Certified Registered | 1910 Malvern Ave, Hot Springs, AR 71901 | 2018-05-01 |
| 1083102446 | John Miles | Nurse Anesthetist, Certified Registered | 300 Werner St, Hot Springs, AR 71913 | 2018-05-01 |
| 1548758089 | David Paul Fraze | Nurse Anesthetist, Certified Registered | 300 Werner St, Hot Springs, AR 71913 | 2018-04-30 |
| 1740712066 | Kathryn Elizabeth Speights | Nurse Anesthetist, Certified Registered | 300 Werner St, Hot Springs, AR 71913-6406 | 2017-03-28 |
| 1285095026 | Austin Brady Birch | Nurse Anesthetist, Certified Registered | 1910 Malvern Ave, Hot Springs, AR 71901-7752 | 2016-03-07 |
| Find all providers in HOT SPRINGS | ||||
| City | HOT SPRINGS |
| Zip Code | 71913 |
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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.