Active NPI
Jillien Alaia Bryan
- Peer Specialist
- Henderson, NV
National Provider Identifier
1245101997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- PRSS-5332
- Practice address
- 1536 N Boulder Hwy
Henderson, NV 89011-4120 - Phone
- (725) 696-9673
- NPI assigned
- Sep 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | PRSS-5332 | NV | Primary |
Addresses
Primary practice location
1536 N Boulder Hwy
Henderson, NV 89011-4120
Mailing address
866 W Lake Mead Blvd
Las Vegas, NV 89106-2338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRSS-5332 | NV | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1245101997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "866 W LAKE MEAD BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891062338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1536 N BOULDER HWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890114120",
"telephone_number": "725-696-9673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "JILLIEN",
"middle_name": "ALAIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-16",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NV",
"license": "PRSS-5332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.