Jacklyn Grace Marie Cameron

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1830 E Sahara Ave Ste 113
Las Vegas, NV 89104-3738

Phone

(877) 786-4999

NPI assigned

Nov 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1194481259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 ELBURZ RD UNIT 15",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898017500",
            "telephone_number": "406-320-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 E SAHARA AVE STE 113",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043738",
            "telephone_number": "877-786-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "JACKLYN",
        "middle_name": "GRACE MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Cameron
• Channon Cameron
• Cynthia Fuhrer Cameron
• Danala Cameron
• Garrett Cameron, RN
• Jeanine Cameron
• Laqueise Cameron
• Ludsmila Dolores Cameron
• Miranda Shinee Cameron
• Rhema Cameron

• Home Health Aide in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Aide in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.