Active NPI
Jaden Collins
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1164028809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 3651 N Rancho Dr Apt 215
Las Vegas, NV 89130-3134 - Phone
- (702) 913-2893
- NPI assigned
- Dec 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3651 N Rancho Dr Apt 215
Las Vegas, NV 89130-3134
Mailing address
3651 N Rancho Dr Apt 215
Las Vegas, NV 89130-3134
Phone (702) 913-2893
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | jackiecummings22@gmail.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1164028809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3651 N RANCHO DR APT 215",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891303134",
"telephone_number": "702-913-2893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3651 N RANCHO DR APT 215",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891303134",
"telephone_number": "702-913-2893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "JADEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "jackiecummings22@gmail.com",
"affiliation": "N",
"address_1": "3651 N Rancho Dr Apt 215",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891303134",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.