Individual provider Active NPI

Jeanette M. Straga

  • Neurological Surgery Physician
  • Pahrump, NV
National Provider Identifier
1285663914
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
20A8333 Issued in CA
Practice address
2200 E Calvada Blvd
C
Pahrump, NV 89048-5881
Phone
(775) 727-9800
Fax
(775) 727-9928
NPI assigned
Jul 3, 2006
Last updated
Apr 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 20A8333 CA Primary

Addresses

Primary practice location

2200 E Calvada Blvd
C
Pahrump, NV 89048-5881

Mailing address

819 Peacock PLZ
222
Key West, FL 33040-4255
Phone (619) 300-9944

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
8333CAMDClinical Social Worker
20A8333CAMDNeurological Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1285663914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 PEACOCK PLZ",
            "address_2": "222",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404255",
            "telephone_number": "619-300-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E CALVADA BLVD",
            "address_2": "C",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485881",
            "telephone_number": "775-727-9800",
            "fax_number": "775-727-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAGA",
        "first_name": "JEANETTE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "20A8333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.