Justine Simone Jarecki

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

11013 Linden Leaf Ave
Las Vegas, NV 89144-4567

Phone

(612) 715-3392

NPI assigned

Feb 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1013663087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11013 LINDEN LEAF AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444567",
            "telephone_number": "612-715-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11013 LINDEN LEAF AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444567",
            "telephone_number": "612-715-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARECKI",
        "first_name": "JUSTINE",
        "middle_name": "SIMONE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Jaramillo
• Matthew Jaramillo, LPN
• Yvonne Jaramillo
• Sara Jaratanian, MD
• Kortnie Jardine
• Jaren Jensen PLLC
• Josephine Jarillas
• Alexander Tablate Jarina
• Dawson Michael Jarina
• Lorielle Dante' Jarman

• Student in an Organized Health Care Education/Training Program in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Student in an Organized Health Care Education/Training Program in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.