Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Jackson Sr., CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1790230837

Kevin Jackson Sr., CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Dallas, Texas. Qualified in 2016, 10 years ago. Practices with Medstream Anesthesia PLLC, a 577-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2016
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

6606 Lbj Fwy Ste 200
Dallas, TX 75240-6533
Phone: (972) 715-5000
Fax: (972) 715-9976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP132899 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 862974 (TX)

Record details

NPI number1790230837
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 18, 2016
Last updated in NPPESJanuary 5, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Medstream Anesthesia Pllc — 577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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