MR. JACK R SHEARER CRNA
NPI 1265438980
Nurse Anesthetist, Certified Registered in Memphis, TN

Q: What is Jack Shearer's NPI number?

The NPI number for Jack Shearer is 1265438980. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Q: What is Jack Shearer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Shearer was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 27, 2005

262 DANNY THOMAS PL, MEMPHIS, TN 38105(901) 595-3006(901) 595-3842 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mr. Jack R Shearer Crna NPPES

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

MR. JACK R SHEARER CRNA (NPI 1265438980) is an individual nurse anesthetist, certified registered in Memphis, Tennessee, licensed in Tennessee (144583) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1265438980

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. JACK R SHEARERCredential: CRNA

Location Address262 DANNY THOMAS PLMemphis, TN 38105-3678

Mailing Address262 Danny Thomas Pl, Ms 515Memphis, TN 38105-3678 · (901) 595-3006 · Fax (901) 595-3842

Phone(901) 595-3006

Fax(901) 595-3842

Sole ProprietorNo

Enumeration DateJune 27, 2005

Last NPPES UpdateOctober 2, 2012

✔ NPI 1265438980 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 TN · 144583

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.

262 DANNY THOMAS PL, Memphis, TN 38105

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Other Identifiers 16

Medicaid422400000ME

Medicaid919333104MO

Medicaid104694231MI

Medicaid2524076OH

Medicaid9572KS

Medicaid010133181VA

Medicaid200522250AIN

Medicare ID-Type Unspecified3634134TN

Medicaid1472115LA

Medicaid157589001AR

Medicaid174264501TX

Medicaid200055730AOK

MedicaidQAN028SC

Medicaid04132040MS

Medicaid4307498MT

Medicaid5440235TN

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.

MISS JENNIFER ELAINE ROEMER CPNP-AC

Nurse Practitioner (Pediatrics)

262 DANNY THOMAS PL
MEMPHIS, TN 38105

Shelby County (901) 595-3300

MR. ALBERTO S. PAPPO M.D.

Pediatrics (Pediatric Hematology-Oncology)

262 DANNY THOMAS PL
MEMPHIS, TN 38105

Shelby County (901) 595-6765

MS. HEATHER MARIE CONKLIN PHD

Psychologist (Clinical)

262 DANNY THOMAS PL
MEMPHIS, TN 38105

Shelby County (901) 595-3006

ALYSSA COTTON

Nurse Practitioner (Family)

262 DANNY THOMAS PL
MEMPHIS, TN 38105

Shelby County (901) 595-3300

ARMITA BAHRAMI MD

Pathology (Anatomic Pathology & Clinical Pathology)

262 DANNY THOMAS PL
MEMPHIS, TN 38105

Shelby County (901) 595-3300

DR. SEAN PHIPPS PH.D.

Psychologist (Clinical Child & Adolescent)

262 DANNY THOMAS PL
MEMPHIS, TN 38105

Shelby County (901) 595-3006

WENDY BOURLAND D.O.

Pediatrics (Pediatric Hematology-Oncology)

262 DANNY THOMAS PL, MAILSTOP 260
MEMPHIS, TN 38105

Shelby County (901) 595-3300

JAMES MICHAEL BURGESS DNP, MBA, RN

Clinical Nurse Specialist (Oncology, Pediatrics)

262 DANNY THOMAS PL
MEMPHIS, TN 38105

Shelby County (901) 595-3300

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 Jack Shearer's NPI number?

The NPI number for Jack Shearer is 1265438980. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Jack Shearer located?

Jack Shearer practices at 262 Danny Thomas Pl, Memphis, TN 38105. The listed phone number is (901) 595-3006.

What is Jack Shearer'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 Jack Shearer was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.