Jessica Carrillo

Key facts

NPI

1194358440

Entity type

Individual (NPI type 1)

Primary specialty

Personal Care Attendant 3747P1801X

Practice address

6580 Coffeeville Creek Dr
Las Vegas, NV 89122-3504

Phone

(603) 229-8799

NPI assigned

Feb 14, 2020

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 14, 2020.

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1194358440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6580 COFFEEVILLE CREEK DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891223504",
            "telephone_number": "603-229-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6580 COFFEEVILLE CREEK DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891223504",
            "telephone_number": "603-229-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

• Heather Lynn Carrillo
• Hector Carrillo
• Herminia Carrillo
• Idalia Carrillo
• Jerimiah Carrillo
• Kassandra Carrillo
• Laura Carrillo
• Leanne Carrillo, P.T.
• Legna Carrillo
• Luis Carrillo

All providers in Las Vegas, NV · Personal Care Attendant in Nevada