Active NPI
Jennifer Delynn Westmoreland, PA-C
- Medical Physician Assistant
- Las Vegas, NV
National Provider Identifier
1114219086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 3012 S Durango Dr
Las Vegas, NV 89117-9186 - Phone
- (702) 835-0088
- Fax
- (702) 826-3162
- NPI assigned
- May 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
3012 S Durango Dr
Las Vegas, NV 89117-9186
Mailing address
3012 S Durango Dr
Las Vegas, NV 89117-9186
Phone (702) 835-0088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114219086 | Medicaid | NV |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 3
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.
-
- Neurological Surgery Physician
- Las Vegas, NV
- NPI 1164941381
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1447656988
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Las Vegas, NV
- NPI 1164647244
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": "1663718400000",
"number": "1114219086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3012 S DURANGO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891179186",
"telephone_number": "702-835-0088",
"fax_number": "702-826-3162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3012 S DURANGO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891179186",
"telephone_number": "702-835-0088",
"fax_number": "702-826-3162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTMORELAND",
"first_name": "JENNIFER",
"middle_name": "DELYNN",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-10",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114219086",
"state": "NV"
}
],
"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 Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.