Active NPI
Jon D Speed, CRNA
- Certified Registered Nurse Anesthetist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP125372
- Practice address
- 12222 Merit Dr Ste 600
Dallas, TX 75251-3294 - Phone
- (972) 715-5000
- Fax
- (972) 715-9976
- NPI assigned
- Feb 21, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024179520 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | 1-106956 | AL | |
| Certified Registered Nurse Anesthetist | 367500000X | RN187388 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP125372 | TX | Primary |
Addresses
Primary practice location
12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999
Other practice location 1
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-3138
Other practice location 2
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 337983601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140818002564 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0042437865 | Reassigns benefits to 4 organizations |
| I20180921002686 | AL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0042437865 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lifelinc Anesthesia PLLCEndo Sedation LLC
Practice addresses (Care Compare)
75 Shell St
Suite 100
Saraland, AL 36571-2202
Phone (251) 481-6231
855 Proton Rd
San Antonio, TX 78258-4203
Phone (210) 614-1234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN187388 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medicine Associates | Current | Accepting new patients | |
| Veronox Anesthesia, LLC | Current | Accepting new patients | |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| U. S. Anesthesia Partners of Texas, P.a., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| Dothan Anesthesiology Associates PC | Current | Accepting new patients | |
| U S Anesthesia Partners of Texas, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| James S. Trimble, M.D. P.a. | Past | Accepting new patients |
Locations
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
201 E Watts St
Enterprise, AL 36330
Phone (334) 383-5474
12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844
1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441
7703 Floyd Curl Dr
Rm 4
San Antonio, TX 78229
Phone (210) 567-3053
5223 Hamilton Wolfe Rd
San Antonio, TX 78229
Phone 2106141234713
11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555
855 Proton Rd
San Antonio, TX 78258
Phone (210) 582-8000
1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
Interoperability endpoints
- jspeed523173@uhssa.direct-ci.com
Organizations & group practices 10
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.
-
- Certified Registered Nurse Anesthetist
- Keller, TX
- NPI 1588931174
Nurse Anesthetist, Certified Registered, TX
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Nurse Anesthetist, Certified Registered, TX
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
TX
-
- Interventional Pain Medicine Physician
- Addison, TX
- NPI 1053800391
Nurse Anesthetist, Certified Registered
-
- Diagnostic Radiology Physician
- Boerne, TX
- NPI 1417921834
-
- MOHS-Micrographic Surgery Physician
- Orange Park, FL
- NPI 1912434242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1720403173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840853",
"telephone_number": "972-233-1999",
"fax_number": "997-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12222 MERIT DR STE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752513294",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
}
],
"practiceLocations": [
{
"address_1": "3300 Gallows Rd",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220423307",
"country_code": "US",
"telephone_number": "703-776-3138",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4502 Medical Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782294402",
"country_code": "US",
"telephone_number": "210-358-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPEED",
"first_name": "JON",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-21",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024179520",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-106956",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN187388",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP125372",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "337983601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.