Individual provider Active NPI

Jaime Parke, CRNA

  • Certified Registered Nurse Anesthetist
  • Henderson, NV
National Provider Identifier
1013205830
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
TRN331363 Issued in NV
Practice address
129 W Lake Mead Pkwy
Suite B18
Henderson, NV 89015-6954
Phone
(702) 564-4440
Fax
(702) 558-1522
NPI assigned
Jul 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X TRN331363 NV Primary

Addresses

Primary practice location

129 W Lake Mead Pkwy
Suite B18
Henderson, NV 89015-6954

Mailing address

129 W Lake Mead Pkwy
Suite B18
Henderson, NV 89015-6954
Phone (702) 564-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111005000791 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092987529 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amin Dunckelmeyer and Luu PLLCGroup PAC ID 4385002682, 48 clinicians
Red Rock Anesthesia Consultants LLCGroup PAC ID 4284910290, 109 clinicians

Practice addresses (Care Compare)

Las Vegas, NV 89117
Phone (469) 983-0099

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 325-4651

Hospital & facility affiliations

  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021
  • Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TRN331363NVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Savignac Anesthesia, PC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2017 Accepting new patients
Red Rock Anesthesia Consultants LLC CurrentSince Dec 1, 2023 Accepting new patients
PBS Anesthesia LLC CurrentSince Jan 11, 2024 Accepting new patients
Amin, Dunckelmeyer and Luu PLLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

3157 N Rainbow Blvd
Las Vegas, NV 89108

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

7135 W Sahara Ave
Ste 101
Las Vegas, NV 89117
Phone (702) 227-5448

7250 Peak Dr
Ste 100
Las Vegas, NV 89128
Phone (702) 245-5960

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1013205830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W LAKE MEAD PKWY",
            "address_2": "SUITE B18",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156954",
            "telephone_number": "702-564-4440",
            "fax_number": "702-558-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W LAKE MEAD PKWY",
            "address_2": "SUITE B18",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156954",
            "telephone_number": "702-564-4440",
            "fax_number": "702-558-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKE",
        "first_name": "JAIME",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "TRN331363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.