Individual provider Active NPI

Daniel Michael Jeffries, APRN - FNP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1194620518
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
811315 Issued in NV
Practice address
204 Rancho Vista Dr
Las Vegas, NV 89106-3934
Phone
(619) 573-2446
NPI assigned
Oct 14, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 811315 NV Primary

Addresses

Primary practice location

204 Rancho Vista Dr
Las Vegas, NV 89106-3934

Mailing address

204 Rancho Vista Dr
Las Vegas, NV 89106-3934
Phone (619) 573-2446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1194620518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 RANCHO VISTA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063934",
            "telephone_number": "619-573-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 RANCHO VISTA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063934",
            "telephone_number": "619-573-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "DANIEL",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "APRN - FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "811315",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.