Individual provider Active NPI

Jeremiah Umeh

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1225690449
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
821083 Issued in NV
Practice address
9711 Mount Kenyon St
Las Vegas, NV 89178-4898
Phone
(310) 500-9312
Fax
(725) 863-9247
NPI assigned
Jul 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 821083 NV
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 821083 NV Primary
Family Nurse Practitioner 363LF0000X 95012920 CA

Addresses

Primary practice location

9711 Mount Kenyon St
Las Vegas, NV 89178-4898

Mailing address

9711 Mount Kenyon St
Las Vegas, NV 89178-4898
Phone (310) 500-9312

Other practice location 1

1414 S Eastern Ave Ste A
Las Vegas, NV 89104-3903
Phone (775) 469-2361

Other practice location 2

1151 NV-160
Pahrump, NV 89048
Phone (775) 727-8900

Other practice location 3

13072 Day St # A301
Moreno Valley, CA 92553-7334
Phone (310) 500-9312

Other practice location 4

1414 S Eastern Ave Ste B
Las Vegas, NV 89104-3903
Phone (702) 863-9247

Other practice location 5

2101 W est Warm Spring Rd
3317
Henderson, NV 89014-5517
Phone (951) 375-7893

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL website Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220713002713 NV Practitioner - Nurse Practitioner 3072994664 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Henderson, NV 89014
Phone (310) 500-9312

1414 S Eastern Ave
Suite a
Las Vegas, NV 89104-3903
Phone (775) 469-2361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
821083NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health and Psychotherapy Services, LLC Multi-Specialty CurrentSince Jul 4, 2022 Accepting new patients
Nevada Medical and Pain Institute Multi-Specialty CurrentSince Sep 5, 2024 Accepting new patients
Keney Behavioral Health Services LLC Multi-Specialty CurrentSince Jul 19, 2023 Accepting new patients
Trusted Care Pharmacy Past Accepting new patients

Locations

1414 S Eastern Ave
Ste A
Las Vegas, NV 89104
Phone (775) 469-2361

1414 S Eastern Ave
Ste B
Las Vegas, NV 89104
Phone (702) 863-9247

70 S Nevada Highway 160
Ste 104
Pahrump, NV 89048
Phone (702) 863-9247

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1225690449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 MOUNT KENYON ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891784898",
            "telephone_number": "310-500-9312",
            "fax_number": "725-863-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 MOUNT KENYON ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891784898",
            "telephone_number": "310-500-9312",
            "fax_number": "725-863-9247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 S Eastern Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891043903",
            "country_code": "US",
            "telephone_number": "775-469-2361",
            "fax_number": "725-205-0013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1151 NV-160",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "89048",
            "country_code": "US",
            "telephone_number": "775-727-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13072 Day St # A301",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925537334",
            "country_code": "US",
            "telephone_number": "310-500-9312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 S Eastern Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891043903",
            "country_code": "US",
            "telephone_number": "702-863-9247",
            "fax_number": "725-205-0013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 W est Warm Spring Rd",
            "address_2": "3317",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890145517",
            "country_code": "US",
            "telephone_number": "951-375-7893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UMEH",
        "first_name": "JEREMIAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-09",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "821083",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "821083",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "website",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13072 Day St # A301",
            "city": "Moreno Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925537334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.