Active NPI
Janisha Ryann Cruz
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1306580667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10201-M
- Practice address
- 601 S Rancho Dr Ste A10
Las Vegas, NV 89106-4898 - Phone
- (702) 437-4673
- Fax
- (702) 438-4673
- NPI assigned
- Apr 22, 2022
- Reactivated
- Jan 17, 2025
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10201-M | NV | Primary |
Addresses
Primary practice location
601 S Rancho Dr Ste A10
Las Vegas, NV 89106-4898
Mailing address
6720 Surfbird St
North Las Vegas, NV 89084-2255
Phone (725) 259-2695
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 |
|---|---|---|---|
| 10201-M | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1306580667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6720 SURFBIRD ST",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890842255",
"telephone_number": "725-259-2695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S RANCHO DR STE A10",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064898",
"telephone_number": "702-437-4673",
"fax_number": "702-438-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "JANISHA",
"middle_name": "RYANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-22",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"deactivation_date": "2022-06-01",
"reactivation_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "10201-M",
"primary": true
}
],
"identifiers": [],
"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 Jan 17, 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.