Individual provider Active NPI

Laurie J Jackson, CRNA

  • Certified Registered Nurse Anesthetist
  • Spring, TX
National Provider Identifier
1124003363
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
463521 Issued in TX
Practice address
17207 Kuykendahl Rd
200
Spring, TX 77379-8423
Phone
(832) 698-5320
Fax
(832) 698-5171
NPI assigned
Dec 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 463521 TX Primary

Addresses

Primary practice location

17207 Kuykendahl Rd
200
Spring, TX 77379-8423

Mailing address

17207 Kuykendahl Rd
200
Spring, TX 77379-8423
Phone (832) 698-5320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060109000365 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638192388 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37683TXMDGeneral Practice Dentistry
463521TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physicians Network PLLC CurrentSince Jul 1, 2024 Accepting new patients
Bayou Anesthesia and Pain P.a. CurrentSince Dec 1, 2006 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Dec 20, 2018 Accepting new patients
Conroe Ambulatory Anesthesia PA CurrentSince Nov 19, 2019 Accepting new patients
Best Choice Anesthesia & Pain PLLC CurrentSince May 26, 2013 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Dec 20, 2018 Accepting new patients
Pediatric Dentistry of Keller PLLC PastSince Jul 28, 2019 Accepting new patients
Thomas Arthur Halling Past Accepting new patients

Locations

2501 W William Cannon Dr
Ste 301
Austin, TX 78745
Phone (512) 439-7300

4019 I 45 N
#150
Conroe, TX 77304
Phone (936) 641-8181

4019 I 45 N
#150N
Conroe, TX 77304
Phone (936) 641-8181

1020 Riverwood Ct
Ste 200
Conroe, TX 77304
Phone (936) 703-5086

3625 N Hall St
Ste 800
Dallas, TX 75219
Phone (214) 252-3500

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

5420 Dashwood Dr
Ste 103
Houston, TX 77081
Phone (713) 661-9550

7010 Champions Plaza Dr
Ste 300
Houston, TX 77069
Phone (832) 698-5320

7010 Champions Plaza Dr
Ste 400
Houston, TX 77069
Phone (832) 698-5320

5858 Westheimer Rd
Ste 82
Houston, TX 77057
Phone (713) 784-6065

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

7010 Champions Plaza Dr
Houston, TX 77069
Phone (832) 698-5320

1500 Citywest Blvd
Ste 300
Houston, TX 77042
Phone (713) 458-4185

710 FM 1960 Rd W
Ste 206
Houston, TX 77090

133 Medical Park Ln
Ste B
Huntsville, TX 77340
Phone (936) 730-8833

1627 Keller Pkwy
Ste 100
Keller, TX 76248
Phone (480) 207-9709

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

3725 E League City Pkwy
Ste 240
League City, TX 77573
Phone (281) 316-7111

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

17207 Kuykendahl Rd
Ste 200
Spring, TX 77379
Phone (832) 698-5320

3115 College Park Dr
Ste 103C
The Woodlands, TX 77384
Phone (936) 271-3400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23958/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124003363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17207 KUYKENDAHL RD",
            "address_2": "200",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798423",
            "telephone_number": "832-698-5320",
            "fax_number": "832-698-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17207 KUYKENDAHL RD",
            "address_2": "200",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798423",
            "telephone_number": "832-698-5320",
            "fax_number": "832-698-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LAURIE",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "463521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.