Individual provider Active NPI

Jessica Karinmarie Salazar

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1194315044
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
1500 E Tropicana Ave Ste 155
Las Vegas, NV 89119-6516
Phone
(702) 450-1704
Fax
(702) 650-0201
NPI assigned
Jan 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

1500 E Tropicana Ave Ste 155
Las Vegas, NV 89119-6516

Mailing address

1500 E Tropicana Ave Ste 155
Las Vegas, NV 89119-6516
Phone (702) 450-1704

Other identifiers 1

IdentifierTypeStateIssuer
1703531782OtherNVDRIVERS LICENSE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral and Health Management LLC Single Specialty CurrentSince Jan 31, 2021 Accepting new patients
Loving Care Corporation PastSince Jan 31, 2021 Accepting new patients

Locations

1500 E Tropicana Ave
Ste 155
Las Vegas, NV 89119
Phone (702) 450-1704

Organizations & group practices 2

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": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1194315044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E TROPICANA AVE STE 155",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196516",
            "telephone_number": "702-450-1704",
            "fax_number": "702-650-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E TROPICANA AVE STE 155",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196516",
            "telephone_number": "702-450-1704",
            "fax_number": "702-650-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "JESSICA KARINMARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "1703531782",
            "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 Apr 5, 2022; 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.