AMY DIANE JACKSON


Address: 7822 Davenport St, Omaha, NE 68114-3629
Phone: 4023914855

AMY DIANE JACKSON (NPI# 1982101432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982101432
Entity Type Individual
Full Name AMY DIANE JACKSON
Credential CRNA
Practice Address 7822 Davenport St
Omaha
NE 68114-3629
Practice Telephone 4023914855
Practice Fax Number 4023916818
Mailing Telephone 4023914855
Mailing Fax Number 4023916818
Enumeration Date 2018-04-11
Last Update Date 2018-04-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 101470 NE Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NE NBCRNA 118046 01

Other Providers AMY JACKSON

NPI Name Taxonomy Address Enumeration
1063027134 Amy Lynn Jackson In Home Supportive Care 812 County Road 24 N, De Graff, OH 43318-9716 2020-09-15
1508489097 Amy E Jackson Social Worker 102 Sloan Rd, Nashville, TN 37209-4636 2020-05-19
1780117804 Amy Jackson Counselor 3590 Mary Ader Ave Apt 1021, Charleston, SC 29414-5792 2017-04-05
1598116568 Amy Jackson Behavioral Analyst 936 Central St Rear Unit, Framingham, MA 01701-4816 2016-06-30
1972866085 Amy J Jackson Nurse Practitioner 2701 W North St Ste B, Muncie, IN 47303-3415 2012-06-22
1881754877 Amy Jackson Dentist 14855 Blanco Rd Ste 109, San Antonio, TX 78216-7728 2006-12-11
1033155106 Amy Marie Jackson Family Medicine 2731 Maguire Rd, Ocoee, FL 34761-4797 2006-06-20
1699772954 Amy Elizabeth Jackson Physician Assistant 1124 Medical Pl, Seymour, IN 47274-2640 2005-07-01
1285235242 Amy Fay Jackson Nurse Practitioner 4411 Medical Dr Ste 300, San Antonio, TX 78229-3824 2020-11-05
1376141747 Amy Michele Jackson Community Health Worker 1300 N 17th Ave, Greeley, CO 80631-9584 2020-10-16

Office Location

Street Address 7822 DAVENPORT ST
City OMAHA
State NE
Zip Code 68114-3629

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659354108 Chad C. Bauerly Anesthesiology 7822 Davenport St, Omaha, NE 68114-3629 2005-11-29
1326667676 Tara Marie Dickey Registered Nurse 7822 Davenport St, Omaha, NE 68114-3629 2020-04-15
1053951327 Samantha Frances Triba Registered Nurse 7822 Davenport St, Omaha, NE 68114-3629 2020-01-14
1912468679 Elizabeth Anne Sheeley Registered Nurse 7822 Davenport St, Omaha, NE 68114-3629 2019-03-26
1902399314 Elizabeth Kalen Ohrt Nurse Anesthetist, Certified Registered 7822 Davenport St, Omaha, NE 68114-3629 2018-06-11
1194254185 Rebecca Christine Milliken Nurse Anesthetist, Certified Registered 7822 Davenport St, Omaha, NE 68114-3629 2017-06-05
1689101628 Nichole Cheri March Nurse Anesthetist, Certified Registered 7822 Davenport St, Omaha, NE 68114-3629 2017-05-22
1568995827 Denise Nan Gordon Nurse Anesthetist, Certified Registered 7822 Davenport St, Omaha, NE 68114-3629 2017-04-04
1922541333 Megan Michelle Channell Nurse Anesthetist, Certified Registered 7822 Davenport St, Omaha, NE 68114-3629 2016-12-02
1871947127 Willard Wade Wise IIi Nurse Anesthetist, Certified Registered 7822 Davenport St, Omaha, NE 68114-3629 2016-04-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689237356 Jared Nathan Holthaus Optometrist 625 N. 98th St, Omaha, NE 68114 2019-04-18
1346701869 On Site Health and Wellness, LLC Dietitian, Registered 7905 Pacific Street, Omaha, NE 68114 2019-03-27
1801301205 Logan Johnson Specialist/Technologist 8803 Webster Plz, Omaha, NE 68114 2017-12-06
1992224687 Douglas Medical Supplies Durable Medical Equipment & Medical Supplies 7914 W Dodge Rd Ste 916, Omaha, NE 68114 2017-09-13
1023568540 Active Spine Physical Therapy, LLC Clinic/Center 10110 Nicholas St Ste 100, Omaha, NE 68114 2016-10-07
1417400706 Kayla Ann Leddy Counselor 7701 Pacific St Ste 100a, Omaha, NE 68114 2016-08-03
1134561103 Julio Cesar Deleon Iv Counselor 9212 California Plaza #308, Omaha, NE 68114 2013-07-19
1477992261 Nicole Janine Lecci Dentist 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 2013-06-14
1538504436 Christian Louis Barney Radiology 8303 Dodge St Ste Ll6, Omaha, NE 68114 2013-05-06
1558606665 Nbd Solutions Durable Medical Equipment & Medical Supplies 327 N 78 Street, Omaha, NE 68114 2012-11-29
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972997062 Kellyn Nieland Nurse Anesthetist, Certified Registered 5913 N 166th Ct, Omaha, NE 68116-3715 2015-03-26
1376961706 Jennifer Kjolhede Nurse Anesthetist, Certified Registered 15435 Douglas Cir, Omaha, NE 68154-2051 2014-04-02
1629205521 Amy L Bierbaum Nurse Anesthetist, Certified Registered 988102 Nebraska Medical Cener, Omaha, NE 68198-0001 2009-06-18
1003051970 Dorothy Valasek Adley Nurse Anesthetist, Certified Registered 8051 West Center Rd., Omaha, NE 68124 2008-12-08
1407010796 Emily Joan Glaser Nurse Anesthetist, Certified Registered Unmc Department of Anesthesiology, 984455 Nebraska Medical Center, Omaha, NE 68198-4455 2008-07-15
1821110339 Robert C. Wells Nurse Anesthetist, Certified Registered 714 Ridgewood Ave, Omaha, NE 68114-5360 2007-04-04
1093835852 Suzane Lynne Bohlen Nurse Anesthetist, Certified Registered 6901 N 72 St, Omaha, NE 68122 2007-03-29
1578635942 James Franklin Sorrell II Nurse Anesthetist, Certified Registered University of Nebraska Medical Ctr, 600 South 42nd Street, Omaha, NE 68198-0001 2006-11-14
1518059393 Marcia Ann Jensen Nurse Anesthetist, Certified Registered 8711 N 57th St, Omaha, NE 68152-1714 2006-09-29
1811001597 Michele C. Gengler Nurse Anesthetist, Certified Registered 8303 Dodge Street, Omaha, NE 68114 2006-08-18
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City OMAHA
Zip Code 68114

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Dataset Information

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.

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