Dolores Jackson

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1014805 Issued in KY

Practice address

1725 Ashley Cir
209A
Bowling Green, KY 42104-3337

Phone

(270) 782-9994

Fax

(270) 842-5048

NPI assigned

Sep 30, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bowling Green Anesthesiology Associates, PSC

  • Anesthesiology Physician
  • Bowling Green, KY
  • NPI 1124058896

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528055050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2020",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421022020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 ASHLEY CIR",
            "address_2": "209A",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043337",
            "telephone_number": "270-782-9994",
            "fax_number": "270-842-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DOLORES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "1014805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74001348",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Lynn Iverson, APRN, FNP-BC
• J. Andrew Craycroft D.M.D. Inc.
• J. Scott Barbee, DMD, PSC
• Brittany Ann Jackson, APRN, PMHNP-BC
• Canon Peyton Jackson, BS
• Eli O. Jackson, D.M.D.
• Kevin Ryan Jackson, O.D.
• Lori Ann Jackson, ARNP
• Megan Kay Jackson, APRN
• Milton Schreiner Jackson, MD

• All providers in Bowling Green, KY
• Certified Registered Nurse Anesthetist in Kentucky

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.