Individual provider Active NPI

Jeanne Marie Winer, FNP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1205543717
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
840714 Issued in NV
Practice address
1180 N Town Center Dr Ste 100
Las Vegas, NV 89144-6308
Phone
(702) 202-2060
NPI assigned
Nov 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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 840714 NV Primary

Addresses

Primary practice location

1180 N Town Center Dr Ste 100
Las Vegas, NV 89144-6308

Mailing address

PO Box 751346
Las Vegas, NV 89136-1346
Phone (702) 491-9356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
840714NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Physicians (Kumar) PLLC CurrentSince Dec 20, 2024 Accepting new patients
Urgent Care Nevada, LLC PastSince Nov 1, 2022 Accepting new patients
Reliant Physicians (Kumar) PLLC PastSince Sep 24, 2023 Accepting new patients
Ucxtra Umbrella, LLC PastSince Nov 1, 2022 Accepting new patients

Locations

1180 N Town Center Dr
Ste 100
Las Vegas, NV 89144
Phone (702) 202-2060

1140 N Town Center Dr
Ste 100
Las Vegas, NV 89144
Phone (702) 202-2060

6090 S Fort Apache Rd
Ste 140
Las Vegas, NV 89148
Phone (702) 202-0534

Organizations & group practices 4

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": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1205543717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751346",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891361346",
            "telephone_number": "702-491-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N TOWN CENTER DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891446308",
            "telephone_number": "702-202-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINER",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "840714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.