Jevon Jefferson

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

5135 Camino Al Norte Ste 259
North Las Vegas, NV 89031-2419

Phone

(702) 806-6195

NPI assigned

Aug 30, 2013

Sex

Male

Sole proprietor

No

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": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1225462823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6536 POINT BREAK ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890841245",
            "telephone_number": "702-624-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 CAMINO AL NORTE STE 259",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312419",
            "telephone_number": "702-806-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "JEVON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvon J Jeannot
• Alyson Jeeves
• Jefferson & Shaw Holdings (Center for Positive Change)
• Edna Faye Jefferson
• Jason Jefferson
• Justin Mathew Jefferson
• Manual Jefferson
• Rachel Jefferson
• Shamarr Jefferson
• Mehdi Jeldi, OTD

• Community Health Worker in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Community Health Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.