Individual provider Active NPI

Jane Diems Sadorra, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1073071932
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
818083 Issued in NV
Practice address
2421 Sterling Heights Dr
Las Vegas, NV 89134-0414
Phone
(702) 769-7956
NPI assigned
Mar 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 818083 NV Primary

Addresses

Primary practice location

2421 Sterling Heights Dr
Las Vegas, NV 89134-0414

Mailing address

2421 Sterling Heights Dr
Las Vegas, NV 89134-0414
Phone (702) 769-7956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190620002711 NV Practitioner - Nurse Practitioner 4183958440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Nevada LLCGroup PAC ID 7012137037, 106 clinicians

Practice addresses (Care Compare)

8300 W Cheyenne Ave
Suite 106
Las Vegas, NV 89129-2177
Phone (702) 656-0911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
818083NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Nevada, LLC CurrentSince Oct 15, 2024 Accepting new patients

Locations

8300 W Cheyenne Ave
Ste 106
Las Vegas, NV 89129
Phone (702) 656-0911

2202 W Craig Rd
North Las Vegas, NV 89032
Phone (702) 826-3200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1073071932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 STERLING HEIGHTS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340414",
            "telephone_number": "702-769-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 STERLING HEIGHTS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340414",
            "telephone_number": "702-769-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADORRA",
        "first_name": "JANE",
        "middle_name": "DIEMS",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "818083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.