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

Mr. Jody King, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1235281114

Mr. Jody King, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Tyler, Texas. Qualified in 2005, 21 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
21
Licensed in
TX
In the registry since
2007
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

800 E Dawson St
Tyler, TX 75701-2036
Phone: (903) 525-2668
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2448 E 5th St, Tyler, TX 75701-3525 — (903) 535-3000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 678892 (TX)

Record details

NPI number1235281114
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 18, 2007
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023
Mailing address3131 County Road 3707, Bullard, TX 75757-5595

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tyler