MS. AUDRA L JACKSON (NPI# 1861472953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861472953 |
| Entity Type | Individual |
| Full Name | MS. AUDRA L JACKSON |
| Other Name | AUDRA JONES |
| Credential | CRNA |
| Practice Address |
1002 Gemini St Ste 128 Houston TX 77058-2746 |
| Practice Telephone | 2812189515 |
| Practice Fax Number | 2812189534 |
| Mailing Telephone | (281) 218-9515 |
| Mailing Fax Number | 2812189534 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2017-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP12634 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 142779 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093815268 | Audra M Jackson | Family Medicine | 3808 South Gary, Fort Smith, AR 72903-5450 | 2006-09-25 |
| Street Address |
1002 GEMINI ST STE 128 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77058-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497740294 | Ponda Elizabeth Sallee | Nurse Anesthetist, Certified Registered | 1002 Gemini St Ste 128, Houston, TX 77058-2746 | 2005-09-18 |
| 1184114233 | Colleen Ciliske | Registered Nurse | 1002 Gemini St Ste 128, Houston, TX 77058 | 2018-05-15 |
| 1164951729 | Misty Paden | Nurse Anesthetist, Certified Registered | 1002 Gemini St Ste 128, Houston, TX 77058-2746 | 2017-06-07 |
| 1912433079 | Algin Adap | Registered Nurse | 1002 Gemini St Ste 128, Houston, TX 77058-2746 | 2017-05-11 |
| 1245776285 | Christine Burnett | Registered Nurse | 1002 Gemini St Ste 128, Houston, TX 77058-2746 | 2017-01-15 |
| 1003358417 | Sherine J Varghese | Registered Nurse | 1002 Gemini St Ste 128, Houston, TX 77058-2746 | 2016-11-16 |
| 1275984197 | Heather Graves | Nurse Anesthetist, Certified Registered | 1002 Gemini St Ste 128, Houston, TX 77058-2746 | 2016-06-22 |
| 1205202637 | Mitzi Anne Willhoite | Nurse Anesthetist, Certified Registered | 1002 Gemini St Ste 128, Houston, TX 77058-2746 | 2015-08-20 |
| 1952789141 | Tiffany Kieselhorst | Nurse Anesthetist, Certified Registered | 1002 Gemini St Ste 128, Houston, TX 77058-2746 | 2015-05-08 |
| 1720401102 | Kalyn Saunders | Nurse Anesthetist, Certified Registered | 1002 Gemini St Ste 128, Houston, TX 77058-2746 | 2014-01-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699248807 | Jolly Joseph | Nurse Practitioner | 18300, Houston Methodist, Houston, TX 77058 | 2019-01-10 |
| 1700372992 | Jasmin Elise Auzenne | Audiologist | 17625 El Camino Real Ste 155, Houston, TX 77058 | 2018-07-10 |
| 1053801225 | Dialyspa Vii LLC | Clinic/Center | 1411 Bonner St., Houston, TX 77058 | 2018-05-14 |
| 1699263285 | Pneucare, LLC | Durable Medical Equipment & Medical Supplies | 1322 Space Park Dr Ste C120, Houston, TX 77058 | 2018-04-29 |
| 1972005189 | Limy Fernandus | Nurse Practitioner | 985 E Nasa Pkwy, Houston, TX 77058 | 2018-03-03 |
| 1033623616 | Sigi Paul | Nurse Practitioner | 1210 El Camino Village Dr., Houston, TX 77058 | 2017-11-19 |
| 1881107845 | Jennifer Elise Hobson | Counselor | 1322 Space Park Dr Ste B123, Houston, TX 77058 | 2017-11-13 |
| 1174035778 | Agrarian Wellness, LLC | Registered Nurse | 17000 El Camino Real Ste 209, Houston, TX 77058 | 2017-11-04 |
| 1013468073 | Cynthia Bandemer | Counselor | 17300 El Camino Real Ste 107d, Houston, TX 77058 | 2016-10-14 |
| 1043698533 | Hopewell Home Healthcare LLC | Nursing Care | 18090 Kings Row, Houston, TX 77058 | 2015-05-15 |
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| 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 |
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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.