NPI age
7 years
Enumerated 2019-01-31
● Active
Type 1 · Individual
Timothy B Different, CRNA
Different is 1 of 4 nurse anesthetist, certified registered providers in Jacksonville and 1 of 6676 in Texas.
Primary specialty
Nurse Anesthetist, Certified Registered
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-05-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 6676 active nurse anesthetist, certified registered providers in Texas.
NPI age
7 years
↓ 6 yr below median (13 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-01Enumerated in NPPES
2019
2026
Where they practice
Practice location
2026 S Jackson St
Jacksonville, TX 757665822
Mailing address
Po Box 847522
Dallas, TX 752847522
Specialties
-
Nurse Anesthetist, Certified Registered Primary(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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 769641 | MEDICARE |
| 01 (TX) | 8KP517 | BCBS |
| 05 (TX) | 394643601 | |
| 01 (TX) | P02210751 | MEDICARE RAIL ROAD |
Practice context
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.