Individual provider Active NPI

Jamie L Jadid, APN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1245559061
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN001199 Issued in NV
Practice address
2011 Pinto LN
Suite 200
Las Vegas, NV 89106-4004
Phone
(702) 382-3200
Fax
(702) 382-3575
NPI assigned
May 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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 APN001199 NV Primary

Addresses

Primary practice location

2011 Pinto LN
Suite 200
Las Vegas, NV 89106-4004

Mailing address

2011 Pinto LN
Suite 200
Las Vegas, NV 89106-4004
Phone (702) 382-3200

Other identifiers 1

IdentifierTypeStateIssuer
RN 17892OtherNVLICENSE

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
I20100922000334 NV Practitioner - Nurse Practitioner 1951427400 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN001199NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wong & Litchfield, LTD CurrentSince Jun 1, 2018 Accepting new patients
Iriye Medical Group PLLC CurrentSince Dec 6, 2014 Accepting new patients

Locations

2415 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 434-8400

2845 Siena Heights Dr
Ste 350
Henderson, NV 89052
Phone (702) 382-3200

2011 Pinto Ln
Ste 200
Las Vegas, NV 89106
Phone (702) 382-3200

8925 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 387-8868

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1245559061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 PINTO LN",
            "address_2": "SUITE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064004",
            "telephone_number": "702-382-3200",
            "fax_number": "702-382-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 PINTO LN",
            "address_2": "SUITE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064004",
            "telephone_number": "702-382-3200",
            "fax_number": "702-382-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADID",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN001199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN 17892",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.