Individual provider Active NPI

Jennifer Wood, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1205470408
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
888895 Issued in NV
Practice address
8300 W Cheyenne Ave Ste 106
Las Vegas, NV 89129-2177
Phone
(936) 870-5099
NPI assigned
Oct 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95189909 CA
Nurse Practitioner 363L00000X 95012463 CA
Family Nurse Practitioner 363LF0000X 95012463 CA
Family Nurse Practitioner 363LF0000X 888895 NV Primary

Addresses

Primary practice location

8300 W Cheyenne Ave Ste 106
Las Vegas, NV 89129-2177

Mailing address

1821 Montvale CT
Las Vegas, NV 89134-6683
Phone (410) 491-1224

Other practice location 1

660 Baker St Ste A102
Costa Mesa, CA 92626-4407
Phone (714) 668-2505

Other practice location 2

4950 Barranca Pkwy Ste 104
Irvine, CA 92604-8644
Phone (949) 857-1248

Other practice location 3

18785 Brookhurst St Ste 101
Fountain Valley, CA 92708-7300
Phone (714) 378-0042

Other names 1

  • Jennifer Salaveria Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230110002001 CA Practitioner - Nurse Practitioner 6204206147
I20250819003631 NV Practitioner - Nurse Practitioner 6204206147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Nevada LLCGroup PAC ID 7012137037, 106 clinicians

Practice addresses (Care Compare)

8300 W Cheyenne Ave
Suite 106
Las Vegas, NV 89129-2177
Phone (702) 656-0911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95189909CAMDRegistered Nurse
95012463CAMDNurse Practitioner
888895NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Nevada, LLC CurrentSince Sep 1, 2025 Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients

Locations

8300 W Cheyenne Ave
Ste 106
Las Vegas, NV 89129
Phone (702) 656-0911

2202 W Craig Rd
North Las Vegas, NV 89032
Phone (702) 826-3200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: jennifer.salaveria.p7@direct.nautilus.nextgenshare.com

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": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1205470408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 MONTVALE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346683",
            "telephone_number": "410-491-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W CHEYENNE AVE STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292177",
            "telephone_number": "936-870-5099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 Baker St Ste A102",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926264407",
            "country_code": "US",
            "telephone_number": "714-668-2505",
            "fax_number": "714-668-2515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4950 Barranca Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926048644",
            "country_code": "US",
            "telephone_number": "949-857-1248",
            "fax_number": "949-559-1165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18785 Brookhurst St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927087300",
            "country_code": "US",
            "telephone_number": "714-378-0042",
            "fax_number": "714-968-9129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JENNIFER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95189909",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012463",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012463",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "888895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SALAVERIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.