JESSICA JACKSON (NPI# 1457718280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457718280 |
| Entity Type | Individual |
| Full Name | JESSICA JACKSON |
| Credential | CRNA |
| Practice Address |
1600 11th St Wichita Falls TX 76301-4300 |
| Mailing Address |
Po Box 5188 Longview TX 75608-5188 |
| Practice Telephone | 8009397440 |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP130093 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759594 | Jessica Ashley Jackson | Social Worker | 310 W Mckinley Ave, Mishawaka, IN 46545-5600 | 2020-10-28 |
| 1396387361 | Jessica Leeann Jackson | In Home Supportive Care | 2643 Portsmouth Pl, Hephzibah, GA 30815-6434 | 2019-10-11 |
| 1720638018 | Jessica Jackson | Registered Nurse | 1600 Pine Tree Rd Apt 415, Longview, TX 75604-3244 | 2019-09-18 |
| 1386106326 | Jessica Marie Jackson | Specialist/Technologist | 120 Main St Apt 217, Saco, ME 04072-3528 | 2019-04-01 |
| 1205335916 | Jessica Berdette Jackson | Licensed Practical Nurse | 376 Owego Rd, Candor, NY 13743-1645 | 2018-02-08 |
| 1023553187 | Jessica Elise Jackson | Physician Assistant | 2109 S Santa Fe Ave, Moore, OK 73160-2807 | 2016-12-28 |
| 1982151130 | Jessica Jackson | Licensed Practical Nurse | 25 Green Knolls Dr Apt D, Rochester, NY 14620-4777 | 2016-09-06 |
| 1770940975 | Jessica Jackson | Technician, Other | 24024 Evergreen Rd Apt 108a, Southfield, MI 48075-5517 | 2016-01-20 |
| 1710344007 | Jessica Jackson | Social Worker | 4 Tufts Trl, Hopatcong, NJ 07843-1013 | 2016-01-18 |
| 1336572726 | Jessica L Jackson | Health Educator | 492 Naughright Rd, Long Valley, NJ 07853-3807 | 2013-08-20 |
| Street Address |
1600 11TH ST |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76301-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013448 | United Regional Health Care System Inc | General Acute Care Hospital | 1600 11th St, Wichita Falls, TX 76301-4388 | 2005-06-14 |
| 1952918625 | David Brandt Oneal | Nurse Practitioner | 1600 11th St, Wichita Falls, TX 76301-4300 | 2020-09-28 |
| 1700404662 | Dyanna Carmen Orue-gutierrez | Pharmacist | 1600 11th St, Wichita Falls, TX 76301-4300 | 2020-07-08 |
| 1518589977 | Andrea Bree Grassi | 1600 11th St, Wichita Falls, TX 76301-4300 | 2020-05-08 | |
| 1356979371 | Mari Brooke Adams | Nurse Practitioner | 1600 11th St, Wichita Falls, TX 76301-4300 | 2020-03-27 |
| 1164053757 | Debra Felderhoff | Nurse Practitioner | 1600 11th St, Wichita Falls, TX 76301-4388 | 2020-02-01 |
| 1275164014 | Michelle Ogechi Ndiulor | Pharmacist | 1600 11th St, Wichita Falls, TX 76301-4388 | 2020-01-30 |
| 1174169403 | Marisha Okpala | Pharmacist | 1600 11th St, Wichita Falls, TX 76301-4300 | 2019-11-21 |
| 1235773268 | Silas Christopher Brown | Nurse Practitioner | 1600 11th St, Wichita Falls, TX 76301-4388 | 2019-11-02 |
| 1780228114 | Keila Fawcett | Pharmacist | 1600 11th St, Wichita Falls, TX 76301-4300 | 2019-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192991 | Rebecca Ashley Marin | Licensed Vocational Nurse | 909 8th Sreet, Ste 100, Wichita Falls, TX 76301 | 2020-04-16 |
| 1164077558 | Melissa Ann Marshall | Registered Nurse | 1717 Lucile Ave, Wichita Falls, TX 76301 | 2019-08-02 |
| 1841760659 | Edward Scott Hamilton | Psychologist | 710 Lamar St., Wichita Falls, TX 76301 | 2018-12-05 |
| 1457872681 | Jennyfer A Rosado | Counselor | 719 Scott Ave Ste 610, Wichita Falls, TX 76301 | 2017-06-28 |
| 1023547676 | Cale David Lennard | Dentist | 2405 9th St Ste A, Wichita Falls, TX 76301 | 2017-06-07 |
| 1790198455 | Tongle Yu | Family Medicine | 1301 Third St, Suite 200, Wichita Falls, TX 76301 | 2014-06-10 |
| 1821412081 | Jennifer Burbage | Nurse Practitioner | 1700 3rd Street, Wichita Falls, TX 76301 | 2014-02-09 |
| 1275871568 | Jeffrey John Papak | Pharmacy Technician | 1610 9th Street, Wichita Falls, TX 76301 | 2013-01-22 |
| 1679826853 | Cheryl Denise Williams | Clinical Nurse Specialist | 1605 10th Street, Wichita Falls, TX 76301 | 2012-10-24 |
| 1902199250 | Tilahun Worku Belay | Internal Medicine | 1631 11th St Unit B, Wichita Falls, TX 76301 | 2011-05-19 |
| Find all providers in zip 76301 | ||||
| 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 |
|---|---|---|---|---|
| 1750880787 | Micah Michelle Veitenheimer | Nurse Anesthetist, Certified Registered | 311 Windjammer Way, Wichita Falls, TX 76308-5825 | 2018-02-05 |
| 1457369605 | Carolyn Ann Wainscott | Nurse Anesthetist, Certified Registered | 313 Shore Line Dr, Wichita Falls, TX 76308-5845 | 2006-08-04 |
| 1164410049 | Wendy Noles | Nurse Anesthetist, Certified Registered | 10 Copper Kettle Ct, Wichita Falls, TX 76308-4456 | 2005-10-13 |
| 1205466844 | Harley Michelle Dowdy | Nurse Anesthetist, Certified Registered | 1600 8th St, Wichita Falls, TX 76301-3108 | 2020-01-23 |
| 1558710624 | Kell Anesthesia Billing Company | Nurse Anesthetist, Certified Registered | 4210 Kell Blvd, Suite 200, Wichita Falls, TX 76309-4802 | 2016-06-08 |
| 1356730170 | Charles Hall | Nurse Anesthetist, Certified Registered | 1600 11th St, Wichita Falls, TX 76301-4300 | 2015-01-16 |
| 1659779890 | Cody Cure | Nurse Anesthetist, Certified Registered | 1600 11th St, Wichita Falls, TX 76301-4300 | 2014-12-19 |
| 1508288507 | Hannah Soukup | Nurse Anesthetist, Certified Registered | 1600 11th St, Wichita Falls, TX 76301-4300 | 2014-01-09 |
| 1255752622 | Joseph Peter Mozur IIi | Nurse Anesthetist, Certified Registered | 1600 11th St, Wichita Falls, TX 76301-4300 | 2014-01-02 |
| 1447685466 | Falls Town Anesthesia Associates, Pllc | Nurse Anesthetist, Certified Registered | 1600 11th St, Wichita Falls, TX 76301-4300 | 2013-09-10 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76301 |
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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.