Individual provider Active NPI

Jeannette Ulloa, CRNA

  • Certified Registered Nurse Anesthetist
  • Temple, TX
National Provider Identifier
1285061192
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP127975 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-0745
Phone
(254) 724-2111
NPI assigned
Oct 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP127975 TX Primary
Certified Registered Nurse Anesthetist 367500000X 114182-23 NH
Certified Registered Nurse Anesthetist 367500000X APRN11044120 FL
Certified Registered Nurse Anesthetist 367500000X 680657 NY

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-0745

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-9722

Other practice location 1

1 Medical Center Dr # 1000
Lebanon, NH 03756-0745
Phone (603) 650-5000

Other practice location 2

3612 La Cuesta Dr
El Paso, TX 79936-0745
Phone (623) 628-8318

Other practice location 3

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

Other names 1

  • Mrs. Jeannette Ulloa Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address julloa304168@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA, NH, FL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20150528000925 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901036268 Reassigns benefits to 8 organizations
I20210225000784 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901036268 Reassigns benefits to 1 organization
I20250716001374 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901036268 Reassigns benefits to 2 organizations
I20260122003105 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901036268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
North Pinellas Anesthesia Associates, PAGroup PAC ID 5496915597, 22 clinicians
Northwood Anesthesia Associates LLCGroup PAC ID 8022920255, 40 clinicians
Texas Tech University Health Sciences Center LubbockGroup PAC ID 4385549674, 363 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

1395 S Pinellas Ave
Tarpon Springs, FL 34689-3790
Phone (954) 939-5000

2407 Cypress Ridge Blvd
Wesley Chapel, FL 33544-6312
Phone (954) 939-5000

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 743-2800

Hospital & facility affiliations

  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055
  • University Medical Center Hospital, Lubbock, TX, CCN 450686

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11044120FLMDCertified Registered Nurse Anesthetist
114182-23NHMDCertified Registered Nurse Anesthetist
93346TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Nov 21, 2016 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Nov 21, 2016 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Nurse Anesthetist, Certified Registered CurrentSince Apr 2, 2024 Accepting new patients
El Paso Ams, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 7, 2020 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 6, 2025 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 5, 2020 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jun 6, 2025 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 5, 2020 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 16, 2025 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 16, 2025 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jun 6, 2025 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Premier Anesthesia of Virginia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 20, 2020 Accepting new patients
Northstar Anesthesia II PA Nurse Anesthetist, Certified Registered CurrentSince Jul 8, 2018 Accepting new patients
North Pinellas Anesthesia Associates, PA Nurse Anesthetist, Certified Registered CurrentSince Dec 24, 2025 Accepting new patients
Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 25, 2015 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations (25 of 27)

3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800

1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000

1350 E Venice Ave
Venice, FL 34285
Phone (941) 445-5054

2407 Cypress Ridge Blvd
Wesley Chapel, FL 33544
Phone (813) 875-2600

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

950 N 14th St
Ste 100
Beaumont, TX 77702
Phone (409) 833-5555

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

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

1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 484-5192

701 Tuscan Dr
Ste 100
Irving, TX 75039
Phone (214) 496-1100

180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671

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

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

3601 4th St
#1B350K
Lubbock, TX 79430
Phone (806) 743-2981

2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171

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

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

1015 W Medical Center Blvd
Ste 1200
Webster, TX 77598
Phone (281) 554-3494

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

Interoperability endpoints

  • Direct secure messaging: julloa304168@direct.sw.org

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1285061192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-9722",
            "fax_number": "254-215-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080745",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr # 1000",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037560745",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3612 La Cuesta Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799360745",
            "country_code": "US",
            "telephone_number": "623-628-8318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132031807",
            "country_code": "US",
            "telephone_number": "315-448-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULLOA",
        "first_name": "JEANNETTE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-09",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP127975",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "114182-23",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11044120",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "680657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julloa304168@direct.sw.org",
            "affiliation": "N",
            "address_1": "2401 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765080745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JEANNETTE",
            "last_name": "ULLOA",
            "prefix": "MRS.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

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