Active NPI
Becky Dixon Jackson, NURSE ANESTHETIST
- Certified Registered Nurse Anesthetist
- Aiken, SC
National Provider Identifier
1952403065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2782
- Practice address
- 302 University Pkwy
Anesthesia Department
Aiken, SC 29801-6302 - Phone
- (336) 553-1659
- Fax
- (336) 553-3994
- NPI assigned
- Sep 1, 2006
- Last updated
- Nov 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2782 | SC | Primary |
Addresses
Primary practice location
302 University Pkwy
Anesthesia Department
Aiken, SC 29801-6302
Mailing address
PO Box 7397
Aiken, SC 29804-7397
Phone (336) 553-1659
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN0576 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aiken Anesthesiology Group PA. | Past | Accepting new patients | |
| Au Medical Associates Anesthesia Billing Services, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Aiken, SC
- NPI 1629096490
-
dba MCG Anesthesiology Financial Services
- Anesthesiology Physician
- Augusta, GA
- NPI 1801843933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1952403065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7397",
"city": "AIKEN",
"state": "SC",
"postal_code": "298047397",
"telephone_number": "336-553-1659",
"fax_number": "336-553-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 UNIVERSITY PKWY",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "AIKEN",
"state": "SC",
"postal_code": "298016302",
"telephone_number": "336-553-1659",
"fax_number": "336-553-3994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "BECKY",
"middle_name": "DIXON",
"name_prefix": "Ms.",
"credential": "NURSE ANESTHETIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "2782",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN0576",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.