Jero Multispecialty LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

JERO MULTISPECIALTY LLC

Practice address

624 Chase Tree St
Las Vegas, NV 89144-4502

Phone

(702) 556-3671

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Mariceljean Rycraft

Title

Administrator

Phone

(725) 232-8649

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, HI2 enrollments

Enrollment records 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joy Rose Salvador Alagar, APRN

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1972382059

  HI

  Medicare reassignment NPD
• Faith Santos, NP

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1013608371
  Medicare reassignment NPD

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1285488346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 CHASE TREE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444502",
            "telephone_number": "702-556-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 CHASE TREE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444502",
            "telephone_number": "702-556-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERO MULTISPECIALTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "RYCRAFT",
        "authorized_official_first_name": "MARICELJEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "725-232-8649"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bart Jermain
• Russell Jernee
• Essence P Jernigan, MSW, CSW-I
• Kyrah Jernigan
• William D. Jernigan IV, CHW 1
• Jerome F Hruska, MD, LTD
• Blessing Jerome, MD, DO, MPH
• Robert S Jerome, M.D.
• Alan Jeronimo Varela
• Jerry L Jones MD Professional

• Primary Care Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Primary Care Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.