KRISTINA GAYLE JACKSON C.R.N.A. NPI 1558684183

NPI Information

  • NPI: 1558684183
  • Provider Name: KRISTINA GAYLE JACKSON, C.R.N.A.
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 755 N 11TH ST
    SUITE P3600
    BEAUMONT, TX
    ZIP 77702
  • Phone: (409) 838-5214

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NPI Details

Kristina Gayle Jackson, C.R.N.A. is a nurse anesthetist certified registered in Beaumont, TX. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Kristina Gayle Jackson, C.R.N.A. NPI is 1558684183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

755 N 11TH ST
SUITE P3600
BEAUMONT, TX
ZIP 77702-500
Phone: (409) 838-5214

The enumeration date for this NPI number is 3/10/2010 and was last updated on 2/25/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN0000142813TENNESSEENo
2367500000XNurse Anesthetist, Certified RegisteredAPN 15075TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14266382OTHERTENNESSEEBLUE CROSS OF TN
207805512MEDICAIDMISSISSIPPI
31558684183OTHERTENNESSEECHAMPUS/HUMANA TRICARE
4P00907129OTHERTENNESSEERAILROAD MEDICARE
5103I432965MEDICARE PINTENNESSEE
61521274MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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