LUKE JARVIS JACKSON (NPI# 1194136010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194136010 |
| Entity Type | Individual |
| Full Name | LUKE JARVIS JACKSON |
| Credential | CRNA |
| Practice Address |
1400 29th St S Great Falls MT 59405-5353 |
| Mailing Address |
543 W 2700 N Nephi UT 84648-3004 |
| Practice Telephone | 4094542171 |
| Mailing Telephone | 4355319643 |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | NUR-RN-LIC-74240 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1400 29TH ST S |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-5353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265433114 | Terrance J Sweeney | General Practice | 1400 29th St S, Great Falls, MT 59405-5353 | 2005-08-02 |
| 1265059869 | Northstar Anesthesia of Montana Pllc | Nurse Anesthetist, Certified Registered | 1400 29th St S, Great Falls, MT 59405-5315 | 2020-06-30 |
| 1588159701 | Mckinley June Hallfrisch | Physician Assistant | 1400 29th St S, Great Falls, MT 59405 | 2018-06-29 |
| 1699282251 | Andrea Michelle Withey | Dietitian, Registered | 1400 29th St S, Great Falls, MT 59405-5315 | 2018-01-04 |
| 1932621240 | Crystal Marie Bahnson | Nurse Practitioner | 1400 29th St S, Great Falls, MT 59405-5315 | 2017-07-10 |
| 1245763481 | Tim Levandowski | Pharmacist | 1400 29th St S, Great Falls, MT 59405-5315 | 2017-04-05 |
| 1922548650 | Sound Health Imaging, Inc. | Clinic/Center | 1400 29th St S, Great Falls, MT 59405-5315 | 2017-02-28 |
| 1710338892 | Pauline Marie Conway | Nurse Practitioner | 1400 29th St S, Great Falls, MT 59405-5315 | 2016-06-29 |
| 1174973853 | Elizabeth S Farnsworth | Pediatrics | 1400 29th St S, Great Falls, MT 59405-5315 | 2016-06-14 |
| 1629415229 | Kevin Cedric Allen | Nurse Anesthetist, Certified Registered | 1400 29th St S, Great Falls, MT 59405-5353 | 2013-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| 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 |
|---|---|---|---|---|
| 1821030230 | Stephen Hugh Abercrombie | Nurse Anesthetist, Certified Registered | 2519 13th Ave S, Great Falls, MT 59405-5178 | 2006-06-11 |
| 1275515660 | Robinette Louise Jankiewicz | Nurse Anesthetist, Certified Registered | 1101 26th St. S., Benefis, Great Falls, MT 59405 | 2005-11-19 |
| 1265059869 | Northstar Anesthesia of Montana Pllc | Nurse Anesthetist, Certified Registered | 1400 29th St S, Great Falls, MT 59405-5315 | 2020-06-30 |
| 1245763085 | Trevor James Evans | Nurse Anesthetist, Certified Registered | 3010 15th Ave S, Great Falls, MT 59405-5240 | 2017-04-08 |
| 1629415229 | Kevin Cedric Allen | Nurse Anesthetist, Certified Registered | 1400 29th St S, Great Falls, MT 59405-5353 | 2013-05-23 |
| 1245256916 | Jeffrey L. Allen | Nurse Anesthetist, Certified Registered | 1101 26th St S, Great Falls, MT 59405-5161 | 2006-07-14 |
| 1003847104 | Thomas Scruggs | Nurse Anesthetist, Certified Registered | 3010 15th Ave S, Great Falls, MT 59405-5240 | 2006-07-06 |
| 1477597359 | Darrin Lee Dixon | Nurse Anesthetist, Certified Registered | 1101 26th St S, Great Falls, MT 59405-5161 | 2006-06-15 |
| 1548224033 | Madeline K Chalenor | Nurse Anesthetist, Certified Registered | 1101 26th St S, Great Falls, MT 59405-5161 | 2006-04-13 |
| 1801863261 | Marjorie Geisz Everson | Nurse Anesthetist, Certified Registered | 1101 26th St S, Great Falls, MT 59405-5161 | 2006-03-03 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
Please comment or provide details below to improve the information on LUKE JARVIS JACKSON.
| 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.