TARA RENAE JACKSON (NPI# 1992081343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992081343 |
| Entity Type | Individual |
| Full Name | TARA RENAE JACKSON |
| Credential | CRNA |
| Practice Address |
13737 Noel Rd Ste 1400 Dallas TX 75240-2004 |
| Mailing Address |
Po Box 650426 Dallas TX 75265-0426 |
| Practice Telephone | 9727155000 |
| Practice Fax Number | 9727159976 |
| Mailing Telephone | 9727155000 |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2013-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 742952 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 288779601 | 05 | |
| TX | BCBS | 8340UC | 01 |
| TX | RAILROAD | P01012907 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144632837 | Tara Jackson | Physical Therapy Assistant | 303 North Hurstbourne Parkway, Suite 200, Louisville, KY 40222 | 2014-05-29 |
| 1578900510 | Tara M Jackson | Counselor | 1911 Main Ave Ste 248, Durango, CO 81301-5077 | 2013-05-31 |
| 1578784245 | Tara M Jackson | Developmental Therapist | 104 G Corum Ln, Auburn, KY 42206-5000 | 2007-05-01 |
| 1578164679 | Tara Jackson | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2020-11-04 |
| 1124583653 | Tara Y. Jackson | Registered Nurse | 680 Blair Mill Rd, Horsham, PA 19044-2223 | 2019-02-08 |
| 1184076812 | Tara Jackson | Behavioral Analyst | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2016-07-06 |
| 1790028082 | Tara Leigh Jackson | Nurse Practitioner | 123 James River & Kanawha Turnpike, Ansted, WV 25812 | 2013-04-04 |
| 1750630505 | Tara Jackson | Pharmacist | 4353 W Bethany Home Rd, Glendale, AZ 85301-5483 | 2012-09-06 |
| 1184979098 | Tara Jackson | Nurse Practitioner | 6675 Holmes Rd, Suite 400, Kansas City, MO 64131-1150 | 2012-07-17 |
| 1063625184 | Tara Sauls Jackson | Pharmacist | 412 Johnson St Se, Dawson, GA 39842-1523 | 2007-05-07 |
| Street Address |
13737 NOEL RD STE 1400 |
| City | DALLAS |
| State | TX |
| Zip Code | 75240-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679571418 | Ben Arizola | Nurse Anesthetist, Certified Registered | 13737 Noel Rd, 1400, Dallas, TX 75240-1331 | 2005-07-13 |
| 1386194868 | Dhvani Derasari | Student in an Organized Health Care Education/Training Program | 13737 Noel Rd, #1200, Dallas, TX 75240 | 2016-10-10 |
| 1568919256 | Patra Dear Rungruangphol | Student in an Organized Health Care Education/Training Program | 13737 Noel Rd, Suite 1400, Dallas, TX 75240-1331 | 2016-09-09 |
| 1356790323 | Carlissa Wells | Physician Assistant | 13737 Noel Rd, Dallas, TX 75240-1331 | 2016-06-09 |
| 1407204183 | Carol Waddy | Licensed Vocational Nurse | 13737 Noel Rd, Dallas, TX 75240-1331 | 2016-06-02 |
| 1245687474 | Jason Trevino | Licensed Vocational Nurse | 13737 Noel Rd, Suite 1400, Dallas, TX 75240-1331 | 2016-05-18 |
| 1891142022 | Arlisa Cameron | Licensed Vocational Nurse | 13737 Noel Rd, Suite 1400, Dallas, TX 75240-1331 | 2016-05-18 |
| 1447607973 | Viena Limon | Licensed Vocational Nurse | 13737 Noel Rd, Dallas, TX 75240-1331 | 2016-05-13 |
| 1255791323 | Mai Kim Thi Nguyen | Physician Assistant | 13737 Noel Rd, Suite 1200, Dallas, TX 75240 | 2016-03-02 |
| 1184082422 | Questcare Medical Services Pllc | Physician Assistant | 13737 Noel Rd, #1600, Dallas, TX 75240-1331 | 2016-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469824 | Amber Christine Wrye | Counselor | 5433 Alpha Rd, Dallas, TX 75240 | 2019-10-25 |
| 1134610934 | Kristen Cairns | Counselor | 13140 Coit Rd # 328, Dallas, TX 75240 | 2018-05-29 |
| 1255821435 | Axiom Health Services, LLC | Specialist/Technologist, Other | 5422 Alpha Rd, Dallas, TX 75240 | 2018-05-14 |
| 1114438991 | Donald R Missel | Nurse Anesthetist, Certified Registered | 6606 Lbj Freeway, Suite 200, Dallas, TX 75240 | 2017-10-19 |
| 1689119307 | Ginger Lee Hagood | Counselor | 5580 Lbj Freeway, Suite 300, Dallas, TX 75240 | 2017-01-04 |
| 1831565712 | Stella I Clark | Nurse's Aide | 7373 Valley View Ln #2065, Dallas, TX 75240 | 2015-08-14 |
| 1790163608 | Shana Lynn Gangi | Social Worker | 13601 Preston Rd Ste W970, Dallas, TX 75240 | 2015-05-12 |
| 1134527096 | Jahvel Thompson | Physician Assistant | 8112 W. Spring Valley Rd., Dallas, TX 75240 | 2014-12-09 |
| 1295137396 | Rineil Francis Perez | Pharmacist | 13131 Monfort Dr, Dallas, TX 75240 | 2014-09-19 |
| 1255731311 | Arturo Ojeda | Counselor | 13140 Coit Rd Ste 326, Dallas, TX 75240 | 2014-08-26 |
| Find all providers in zip 75240 | ||||
| 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 |
|---|---|---|---|---|
| 1063056703 | Devco Anesthesia Services, Pllc | Nurse Anesthetist, Certified Registered | 7147 Royal Ln, Dallas, TX 75230-3607 | 2019-11-06 |
| 1861044224 | Texas Joint Pain Management, Pllc | Nurse Anesthetist, Certified Registered | 8611 Hillcrest Rd Ste 245d, Dallas, TX 75225-4203 | 2019-07-15 |
| 1851890636 | Old Town Endoscopy Center LLC | Nurse Anesthetist, Certified Registered | 5500 Greenville Avenue Suite 1100, Dallas, TX 75206 | 2018-02-07 |
| 1114438991 | Donald R Missel | Nurse Anesthetist, Certified Registered | 6606 Lbj Freeway, Suite 200, Dallas, TX 75240 | 2017-10-19 |
| 1225554165 | Southwest Joint Pain Management, LLC | Nurse Anesthetist, Certified Registered | 8611 Hillcrest Rd, Suite 245d, Dallas, TX 75225 | 2017-08-22 |
| 1689104796 | Jaade Anesthesia Management LLC. | Nurse Anesthetist, Certified Registered | 17980 Dallas Pkwy Ste 100, Dallas, TX 75287-6817 | 2017-06-13 |
| 1144755224 | Rpr Et Associates LLC | Nurse Anesthetist, Certified Registered | 11201 Leachman Cir, Dallas, TX 75229-4349 | 2017-04-26 |
| 1316393218 | Miranda Limmer | Nurse Anesthetist, Certified Registered | 1623 Main St, Apt. 702, Dallas, TX 75201-4740 | 2016-05-10 |
| 1942661988 | Hanan Genet Johnson | Nurse Anesthetist, Certified Registered | 5200 Harry Hinesblvd, Dallas, TX 75235 | 2016-03-18 |
| 1891166039 | Td Anesthesia Services | Nurse Anesthetist, Certified Registered | 3728 Shady Hill Dr, Dallas, TX 75229-2711 | 2015-10-14 |
| Find all providers in DALLAS | ||||
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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.