Individual provider Active NPI

Jeannean Joy Jent, CRNA

  • Certified Registered Nurse Anesthetist
  • Woodward, OK
National Provider Identifier
1013973478
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
415154 Issued in TX
Practice address
900 17TH St
Woodward, OK 73801-2448
Phone
(580) 256-5511
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN0000011461 TN
Certified Registered Nurse Anesthetist 367500000X 121295A FL
Certified Registered Nurse Anesthetist 367500000X 041139679 IL
Certified Registered Nurse Anesthetist 367500000X R56982 NM
Certified Registered Nurse Anesthetist 367500000X R0081277 OK
Certified Registered Nurse Anesthetist 367500000X 415154 TX Primary

Addresses

Primary practice location

900 17TH St
Woodward, OK 73801-2448

Mailing address

114 Sierra TRL
Justin, TX 76247-7022
Phone (817) 734-6446

Other identifiers 6

IdentifierTypeStateIssuer
0887119 02MedicaidTX
85969UOtherTXBCBS
088711911MedicaidTX
8765UCOtherTXBCBS
088711913MedicaidTX
P01069442OtherTXRAILROAD MEDICARE

Other names 1

  • Mrs. Jeannean Joy Heller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
23554TXMDClinical Social Worker
121295AFLMDCertified Registered Nurse Anesthetist
041139679ILMDCertified Registered Nurse Anesthetist
R0081277OKMDCertified Registered Nurse Anesthetist
APN0000011461TNMDCertified Registered Nurse Anesthetist
415154TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Anesthesia Specialists PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Mayes County Hma, LLC Past Accepting new patients
Upper Cumberland Anesthesia Associates, PC Nurse Anesthetist, Certified Registered PastSince Apr 19, 2020 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Canadian Valley Anesthesia Services Past Accepting new patients
Okmulgee Memorial Hospital, Inc Past Accepting new patients
University of Texas Health Science Center at Tyler-Facility-Physician Past Accepting new patients
Omh Home Health Past Accepting new patients
Southwestern Physician Services LLC Past Accepting new patients
Atlas Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Kay County Clinic Company LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jjent@yourcarecommunity.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1013973478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 SIERRA TRL",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762477022",
            "telephone_number": "817-734-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 17TH ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012448",
            "telephone_number": "580-256-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENT",
        "first_name": "JEANNEAN",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN0000011461",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "121295A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041139679",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "R56982",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0081277",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "415154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0887119 02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85969U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088711911",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8765UC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088711913",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01069442",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNEAN",
            "last_name": "HELLER",
            "middle_name": "JOY",
            "prefix": "MRS.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodward, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.