Individual provider Active NPI

Jennessa Abascal

  • Home Health Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1104795400
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
890569 Issued in NV
Practice address
250 Pilot Rd Ste 250
Las Vegas, NV 89119-3514
Phone
(702) 982-3292
NPI assigned
Nov 4, 2025
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 890569 NV Primary

Addresses

Primary practice location

250 Pilot Rd Ste 250
Las Vegas, NV 89119-3514

Mailing address

11840 Rustic PL
Fontana, CA 92337-0537

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

State licenses

LicenseStateTypeSpecialty
890569NVMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Pediatric Healthcare Nursing Services, NV, LLC CurrentSince Nov 9, 2025 Accepting new patients

Locations

250 Pilot Rd
Ste 250
Las Vegas, NV 89119
Phone (702) 982-3292

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1104795400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11840 RUSTIC PL",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923370537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PILOT RD STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193514",
            "telephone_number": "702-982-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABASCAL",
        "first_name": "JENNESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NV",
            "license": "890569",
            "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 Nov 4, 2025; 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.