Active NPI
Jack Britton Kyle Jr., RN
- Certified Registered Nurse Anesthetist
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP108453
- Practice address
- 3713 24TH St
Lubbock, TX 79410-2015 - Phone
- (217) 853-2284
- NPI assigned
- Mar 21, 2007
- Last updated
- Apr 24, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP108453 | TX | Primary |
| Registered Nurse | 163W00000X | 583215 | TX |
Addresses
Primary practice location
3713 24TH St
Lubbock, TX 79410-2015
Mailing address
3713 24TH St
Lubbock, TX 79410-2015
Phone (217) 853-2284
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84894U | Other | TX | BCBS |
| 119911906 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12210 Quaker Ave
Lubbock, TX 79424-7789
Phone (806) 792-5900
3610 24TH St
Suite B
Lubbock, TX 79410-2014
Phone (806) 797-1015
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 583215 | TX | MD | Registered Nurse |
| AP108453 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Texas Eye PA | Current | Accepting new patients | |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| West Texas Eye PA | Current | Accepting new patients | |
| Renaissance Medical Foundation | Current | Accepting new patients | |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McAllen Anesthesia Consultants, PA | Current | Accepting new patients | |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McAllen Anesthesia Consultants, PA | Current | Accepting new patients |
Locations
63 S Rockford Dr
Ste 220
Tempe, AZ 85288
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300
1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161
12210 Quaker Ave
Lubbock, TX 79424
Phone (806) 792-5900
3610 24th St
Ste B
Lubbock, TX 79410
Phone (806) 797-1015
3611 50th St
Lubbock, TX 79413
Phone (806) 792-5900
5109 80th St
Lubbock, TX 79424
Phone (806) 792-5900
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
Interoperability endpoints
- jack.kyle.p30@direct.avp.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Keller, TX
- NPI 1588931174
Nurse Anesthetist, Certified Registered
-
- Ophthalmology Physician
- Lubbock, TX
- NPI 1184733586
-
- Anesthesiology Physician
- Edinburg, TX
- NPI 1841200805
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Flower Mound, TX
- NPI 1114270931
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Beaumont, TX
- NPI 1548817471
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Edinburg, TX
- NPI 1952311441
-
- Internal Medicine Physician
- Edinburg, TX
- NPI 1467633867
-
dba West Texas Eye Associates
- Durable Medical Equipment & Medical Supplies
- Midland, TX
- NPI 1063212157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1316063308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3713 24TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794102015",
"telephone_number": "217-853-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3713 24TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794102015",
"telephone_number": "217-853-2284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYLE",
"first_name": "JACK",
"middle_name": "BRITTON",
"name_suffix": "Jr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP108453",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "583215",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "84894U",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119911906",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.