DR. VANESSA RAE JACKSON (NPI# 1104200930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104200930 |
| Entity Type | Individual |
| Full Name | DR. VANESSA RAE JACKSON |
| Credential | CRNA |
| Practice Address |
721 Ne 82nd Ter Kansas City MO 64118-1332 |
| Practice Telephone | 8166461242 |
| Mailing Telephone | 8166461242 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 557350 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932679172 | Vanessa Michelle Jackson | Counselor | 4220 Monterey Oaks Blvd Ste 320, Austin, TX 78749-1170 | 2018-11-30 |
| 1003204678 | Vanessa Jackson | Custodial Care Facility | 2922 Falcon Ave, Far Rockaway, NY 11691-1845 | 2015-01-05 |
| 1063812451 | Vanessa Jackson | Counselor | 4800 Pine St Apt A102, Phila, PA 19143-1749 | 2014-09-04 |
| 1659666782 | Vanessa Jackson | Licensed Practical Nurse | 953 Dewey Ave, Rochester, NY 14613-1640 | 2011-06-16 |
| 1346532223 | Vanessa Jane Jackson | Social Worker | 833 Braddock St Sw, Atlanta, GA 30310-4617 | 2011-05-10 |
| 1376739615 | Vanessa Marie Jackson | Physical Therapist | 11848 Bernardo Plaza Court #100, San Diego, CA 92128 | 2007-09-20 |
| 1235748161 | Vanessa Louise Jackson | Occupational Therapist | 1348 Griffin Mill Rd, Easley, SC 29640-8885 | 2020-07-27 |
| 1376172569 | Vanessa Jackson | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2020-04-08 |
| 1619390713 | Vanessa L Jackson | Case Manager/Care Coordinator | 35300 Nankin Blvd, Suite 601, Westland, MI 48185-7222 | 2014-01-24 |
| 1487975520 | Vanessa Jackson | Nurse Practitioner | 3700 Cahaba Beach Rd, Birmingham, AL 35242-5225 | 2010-06-11 |
| Street Address |
721 NE 82ND TER |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64118-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356955611 | Haley Bogers | Speech-Language Pathologist | 6910 N Homes Street, 200, Gladstone, MO 64118 | 2020-09-03 |
| 1902447618 | Gladstone Family Dental Associates LLC | Dentist | 2019 Ne 72nd Street, 105, Gladstone, MO 64118 | 2019-10-03 |
| 1407339179 | Natalie Klima Rinehart | Massage Therapist | 5545 North Oak Traffic Way, Kansas City, MO 64118 | 2018-09-10 |
| 1255823670 | Giselle Salioa | Physical Therapist | Maple Wood Care Center, 724 Ne 79th Terrace, Kansas City, MO 64118 | 2018-06-01 |
| 1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
| 1174915649 | Angela Nap | Behavioral Analyst | 5738 N Broadway St, Kansas City, MO 64118 | 2015-02-20 |
| 1306188784 | Rachel T Weihe | Internal Medicine | 200 Ne 54th Street, Suite 111, Kansas City, MO 64118 | 2013-03-22 |
| 1114285947 | Samuel Wieland Schowengerdt | Internal Medicine | 5330 N Oak Trfy Ste 102, Kansas City, MO 64118 | 2012-04-30 |
| 1750607438 | Anna Scire | Physical Therapy Assistant | 811 Ne 81st St, Kansas City, MO 64118 | 2010-04-20 |
| 1376870865 | Summit Behavioral Services, LLC | Community/Behavioral Health | 1460 Nw Vivion Rd, Kansas City, MO 64118 | 2009-11-04 |
| Find all providers in zip 64118 | ||||
| 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 |
|---|---|---|---|---|
| 1770845331 | Valerie Kay Weaver | Nurse Anesthetist, Certified Registered | 1440 Ku Hospital, 3901 Rainbow Blvd Ms 1034, Kansas City, KS 66160-0001 | 2012-06-11 |
| 1659645281 | Diane Marie Prewitt | Nurse Anesthetist, Certified Registered | 3901 Rainbow Blvd, Mail Stop 1034, Kansas City, KS 66160 | 2012-02-29 |
| 1225357742 | Elizabeth Ann Lewis | Nurse Anesthetist, Certified Registered | 1440 The University of Kansas Hospital, 3901 Rainbow Blvd, Kansas City, KS 66160-0001 | 2010-05-24 |
| 1306949599 | Irena Dobrowolski | Nurse Anesthetist, Certified Registered | 1800 E Meyer Blvd, Kansas City, MO 64132 | 2006-09-06 |
| 1275552614 | Elise Lockwood | Nurse Anesthetist, Certified Registered | Anes Dept, 3901 Rainbow Blvd, Kansas City, KS 66160-0001 | 2006-07-18 |
| 1184664708 | Nadine Davis | Nurse Anesthetist, Certified Registered | 3420 Campbell St, Kansas City, MO 64109-2354 | 2006-06-08 |
| 1649217365 | Catherine A Williams | Nurse Anesthetist, Certified Registered | 8929 Parallel Parkway, Providence Hospital, Kansas City, KS 66112-1787 | 2006-06-01 |
| 1952361826 | Rachael A Shepard | Nurse Anesthetist, Certified Registered | 10021 N Maywood Ave, Kansas City, MO 64157-9670 | 2006-03-24 |
| 1780660605 | Lin X. Wang | Nurse Anesthetist, Certified Registered | 4401 Wornall Road, Kansas City, MO 64111 | 2005-12-22 |
| 1659355683 | Alice K. Cherry | Nurse Anesthetist, Certified Registered | Dept of Anesthesiology, 3901 Rainbow Blvd Ms 3021, Kansas City, KS 66160-0001 | 2005-12-02 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64118 |
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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.