Individual provider Active NPI

Jamie Terlemezian, BA

  • Rehabilitation Practitioner
  • Las Vegas, NV
National Provider Identifier
1073805081
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
3047 E Warm Springs Rd BLDG 2
Las Vegas, NV 89120-3760
Phone
(702) 419-8670
NPI assigned
May 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

3047 E Warm Springs Rd BLDG 2
Las Vegas, NV 89120-3760

Mailing address

9808 Hanover Grove Ave
Las Vegas, NV 89148-5763
Phone (702) 419-8670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1073805081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 HANOVER GROVE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485763",
            "telephone_number": "702-419-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3047 E WARM SPRINGS RD BLDG 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203760",
            "telephone_number": "702-419-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERLEMEZIAN",
        "first_name": "JAMIE",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.