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MR. JACKIE RAY JOHNSON CRNA
NPI 1053320218
Nurse Anesthetist, Certified Registered in Dallas, TX

Active since August 05, 2006
8200 WALNUT HILL LN, DALLAS, TX 75231(214) 345-7175 Get Directions Write a Review

NPPES record last updated: November 18, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Jackie Ray Johnson Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACKIE RAY JOHNSON CRNA (NPI 1053320218) is an individual nurse anesthetist, certified registered in Dallas, Texas, licensed in Texas (510698) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1053320218
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. JACKIE RAY JOHNSONCredential: CRNA
Location Address8200 WALNUT HILL LNDallas, TX 75231-4426
Mailing Address3008 Shilling RdTexarkana, TX 75503-5423 · (903) 792-2173
Phone(214) 345-7175
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateNovember 18, 2009
✔ NPI 1053320218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TX · 510698
Definition
(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.
8200 WALNUT HILL LN, Dallas, TX 75231
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Other Identifiers 3

Other89723UTX · Bcbs
Medicare PIN8L7085TX
Medicaid002509002TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MUPPIDI REHAB, PLLC
Physical Medicine & Rehabilitation
8200 WALNUT HILL LN
DALLAS, TX 75231
Dallas County (214) 345-6789
DR. JOYZELLE HEROD MCCREARY PH.D.
Psychologist (Clinical)
8200 WALNUT HILL LN, DEPARTMENT OF PSYCHIATRY
DALLAS, TX 75231
Dallas County (214) 345-7355
DR. TIMOTHY A. MOORE M.D.
Anesthesiology
8200 WALNUT HILL LN
DALLAS, TX 75231
Dallas County (214) 345-6148
LISA-ANN WUERMSER MD
Physical Medicine & Rehabilitation
8200 WALNUT HILL LN
DALLAS, TX 75231
Dallas County (763) 520-0453
DARREN IMPHEAN MD
Student in an Organized Health Care Education/Training Program
8200 WALNUT HILL LN
DALLAS, TX 75231
Dallas County (214) 345-6789
MRS. MEREDITH DOERRIES RATLIFF
Dietitian, Registered
8200 WALNUT HILL LN
DALLAS, TX 75231
Dallas County (214) 345-7413
DR. ZAID SHAH DO
Internal Medicine
8200 WALNUT HILL LN
DALLAS, TX 75231
Dallas County (817) 881-3127
DR. URSZULA BARBARA KELLEY M.D.
Psychiatry & Neurology (Psychiatry)
8200 WALNUT HILL LN
DALLAS, TX 75231
Dallas County (214) 345-7355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Johnson's NPI number?

The NPI number for Jackie Johnson is 1053320218. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Jackie Johnson located?

Jackie Johnson practices at 8200 Walnut Hill Ln, Dallas, TX 75231. The listed phone number is (214) 345-7175.

What is Jackie Johnson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Jackie Johnson was last updated on November 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.