Sheena Anniece Jackson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1048628 Issued in TX

Practice address

1585 3Rd St
Fort Johnson, LA 71459-5102

Phone

(337) 718-2889

NPI assigned

Feb 5, 2020

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 names 1

• Ms. Sheena Anniece Berry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1962034389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6913 DIAMOND RIDGE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127697",
            "telephone_number": "314-532-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "city": "FORT JOHNSON",
            "state": "LA",
            "postal_code": "714595102",
            "telephone_number": "337-718-2889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "San Antonio Military Medical Center, USAGPAN",
            "address_2": "3551 Roger Brooke Drive",
            "address_purpose": "LOCATION",
            "city": "JBSA-Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "210-916-4499",
            "fax_number": "210-916-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHEENA",
        "middle_name": "ANNIECE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1048628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEENA",
            "last_name": "BERRY",
            "middle_name": "ANNIECE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Hinrichsen
• James H Hsiau, O.D.
• Melissa Anne Huband, PTA
• Allison Elizabeth Hubner, DPT
• Samuel Kenneth Hudgeons, DO
• Kelly Nichole Jenkins, LCSW
• Caleb O Johnson, DPT
• Quinne Johnson, OTR/L, OTD
• Lillian Rozanski Keppinger, RD
• Shelby Landrum, PT

• Certified Registered Nurse Anesthetist in Fort Johnson, LA
• Providers in Fort Johnson, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.