Jajuane Deshone Fisher

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

12032 Issued in NV

Practice address

3536 Mountain Valley Dr
Las Vegas, NV 89129-6383

Phone

(702) 980-6741

NPI assigned

Dec 6, 2024

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Saving Young Minds LLC

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1366262131
  NPD

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1235945965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 MOUNTAIN VALLEY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296383",
            "telephone_number": "702-980-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 MOUNTAIN VALLEY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296383",
            "telephone_number": "702-980-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JAJUANE",
        "middle_name": "DESHONE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NV",
            "license": "12032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Fisher
• Devin Fisher
• Harry Fisher
• Jacquline Fisher, RBT
• Jajuane Deshone Fisher II
• James Alan Fisher
• Jeremy Fisher, LAT, ATC
• Kathleen Fisher
• Keana Fisher, RBT
• Kimberly Renee Fisher, RBT

• Massage Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Massage Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.