MR. JACKIE RAY JOHNSON CRNA
NPI 1053320218
Nurse Anesthetist, Certified Registered in Dallas, TX
NPI Status: Active since August 05, 2006
Contact Information
8200 WALNUT HILL LN
DALLAS, TX
ZIP 75231
Phone: (214) 345-7175
- Individual
- Male
- Nurse Anesthetist, Certified Registered
About JACKIE JOHNSON
This page provides the complete NPI Profile along with additional information for Jackie Johnson, a provider established in Dallas, Texas with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1053320218 assigned on August 2006. The practitioner's primary taxonomy code is 367500000X with license number 510698 (TX). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1053320218
- Provider Name
- MR. JACKIE RAY JOHNSON CRNA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 8200 WALNUT HILL LN DALLAS, TX 75231
- Location Phone
- (214) 345-7175
- Mailing Address
- 3008 SHILLING RD TEXARKANA, TX 75503
- Mailing Phone
- (903) 792-2173
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-05-2006
- Last Update Date
- 11-18-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 510698
- License State
- TX
- Taxonomy Description
- (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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89723U | OTHER (01) | TX | BCBS |
| 8L7085 | MEDICARE PIN (08) | TX | |
| 002509002 | MEDICAID (05) | TX |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 5 | 3 | 3 | 2 | 0 | 2 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 6 | 2 | 0 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 6 + 2 + 0 + 2 + 2 + 24 = 42 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 42 = 8 | 8 | ||||||||
The NPI number 1053320218 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1396727061 | DR. TRACI K THOMPSON PHARM.D. Individual | Pharmacist | 8200 WALNUT HILL LN DALLAS, TX 75231 (214) 345-2830 |
| 1164408043 | DR. JEANNE WALLACE D.O. Individual | Anesthesiology | 8200 WALNUT HILL LN DALLAS, TX 75231 (214) 345-6789 |
| 1093792566 | DR. CHARLES F. IRWIN M.D. Individual | Anesthesiology (Addiction Medicine) | 8200 WALNUT HILL LN DALLAS, TX 75231 (214) 345-6148 |
| 1174500649 | DR. GEORGE W. HURST M.D. Individual | Anesthesiology | 8200 WALNUT HILL LN DALLAS, TX 75231 (214) 345-6148 |
| 1316924871 | DR. MARK H. GILLIE M.D. Individual | Anesthesiology | 8200 WALNUT HILL LN DALLAS, TX 75231 (214) 345-6148 |
| 1760469225 | DR. ALAN IRWIN FRANKFURT M.D. Individual | Anesthesiology | 8200 WALNUT HILL LN DALLAS, TX 75231 (214) 345-6148 |
| 1386621845 | DR. LAURENCE E. KONIG M.D. Individual | Anesthesiology | 8200 WALNUT HILL LN DALLAS, TX 75231 (214) 345-6148 |
| 1629055058 | DR. KEVIN SCOTT CARNES MD Individual | Anesthesiology | 8200 WALNUT HILL LN DALLAS, TX 75231 (214) 345-6148 |
| 1437136850 | DR. CHRISTOPHER ALAN MORGAN M.D. Individual | Anesthesiology | 8200 WALNUT HILL LN DALLAS, TX 75231 (214) 345-6148 |
| 1003893439 | DR. TIMOTHY A. MOORE M.D. Individual | Anesthesiology | 8200 WALNUT HILL LN DALLAS, TX 75231 (214) 345-6148 |
| 1073590402 | DR. DAVID WILLIAM BYRD MD Individual | Anesthesiology | 8200 WALNUT HILL LN DALLAS, TX 75231 (214) 345-6148 |
| 1174500524 | DR. MICHAEL CHARLES HOLUB M.D. Individual | Anesthesiology | 8200 WALNUT HILL LN DALLAS, TX 75231 (214) 345-6148 |
| 1053384321 | KEVIN THONG NGUYEN MD Individual | Internal Medicine | 8200 WALNUT HILL LN DALLAS, TX 75231 (214) 221-6362 |
| 1215985924 | PAMELA GRACE LINDSAY M.D. Individual | Internal Medicine | 8200 WALNUT HILL LN DALLAS, TX 75231 (972) 792-5700 |
| 1063461598 | SOUTHWEST IMAGING AND INTERVENTIONAL SPECIALISTS, P.A. Organization | Radiology (Diagnostic Radiology) | 8200 WALNUT HILL LN DALLAS, TX 75231 (214) 345-7770 |
| 1750335618 | PRESBYTERIAN HOSPITAL OF DALLAS Organization | Nurse Anesthetist, Certified Registered | 8200 WALNUT HILL LN DALLAS, TX 75231 (214) 345-7173 |
| 1578518023 | JENNIFER GOLDSTEIN PH. D. Individual | Clinical Neuropsychologist | 8200 WALNUT HILL LN DALLAS, TX 75231 (214) 345-7355 |
| 1457306524 | BECKY ANN BROUSSARD CRNA Individual | Nurse Anesthetist, Certified Registered | 8200 WALNUT HILL LN DALLAS, TX 75231 (213) 345-7175 |
| 1962440669 | SARITA S. LOUYS M.D. Individual | Internal Medicine | 8200 WALNUT HILL LN DALLAS, TX 75231 (214) 221-6362 |
| 1437198835 | WILLIAM NORCROSS MD Individual | Emergency Medicine | 8200 WALNUT HILL LN DALLAS, TX 75231 (214) 345-6789 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053320218, enumerated in the NPI registry as an "individual" on August 05, 2006
The provider is located at 8200 Walnut Hill Ln Dallas, Tx 75231 and the phone number is (214) 345-7175
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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