Active NPI
Jasmine Holland
- Home Health Aide
- Las Vegas, NV
National Provider Identifier
1265912240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 3748 Patrolina Ave
Las Vegas, NV 89141-3403 - Phone
- (702) 956-0937
- NPI assigned
- Aug 18, 2018
- Last updated
- Aug 18, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NU | Primary |
Addresses
Primary practice location
3748 Patrolina Ave
Las Vegas, NV 89141-3403
Mailing address
3748 Patrolina Ave
Las Vegas, NV 89141-3403
Phone (702) 956-0937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140064183-00 | Medicaid | NV |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534550400000",
"number": "1265912240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3748 PATROLINA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891413403",
"telephone_number": "702-956-0937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3748 PATROLINA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891413403",
"telephone_number": "702-956-0937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "JASMINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-18",
"last_updated": "2018-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140064183-00",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.