Jackson Anesthesia Services PC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

JACKSON ANESTHESIA SERVICES PC

Practice address

3600 Hampton Avenue
Nashville, TN 37215

Phone

(615) 385-5911

Fax

(615) 385-5911

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Vincent Anthony Jackson, CRNANPI 1255332003

Title

President

Phone

(615) 385-5911

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vincent A Jackson, CRNA

  • Certified Registered Nurse Anesthetist
  • Nashville, TN
  • NPI 1255332003

  Nurse Anesthetist, Certified Registered

  NPD Authorized official
• Annette Olsen, CRNA

  • Certified Registered Nurse Anesthetist
  • Nashville, TN
  • NPI 1215906045

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255434833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 HAMPTON AVENUE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37215",
            "telephone_number": "615-385-5911",
            "fax_number": "615-385-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 HAMPTON AVENUE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37215",
            "telephone_number": "615-385-5911",
            "fax_number": "615-385-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON ANESTHESIA SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-385-5911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NONPAR",
            "identifier": "4109072",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Jack, RN
• Meg Elizabeth Jack, MD
• Jackie L. Stankiewicz, PH.D.
• Jackie O'Dell
• Jackie-D-Yak, LLC
• Jackson Health Care LLC
• Jackson Homecare Ministries 1
• Jackson Park Christian Home, Inc.
• Jackson Primary Care
• Carolyn Denise Jackson-Gardner, FNP-C

• All providers in Nashville, TN
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.