Active NPI
Jarrell Harrison
- Social Worker
- Las Vegas, NV
National Provider Identifier
1326452392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2651 Searles Ave Apt 1195
Las Vegas, NV 89101-9813 - Phone
- (702) 622-8963
- NPI assigned
- Jun 17, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2651 Searles Ave Apt 1195
Las Vegas, NV 89101-9813
Mailing address
2651 Searles Ave Apt 1195
Las Vegas, NV 89101-9813
Phone (702) 622-8963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N/A | 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": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403654400000",
"number": "1326452392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2651 SEARLES AVE APT 1195",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891019813",
"telephone_number": "702-622-8963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2651 SEARLES AVE APT 1195",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891019813",
"telephone_number": "702-622-8963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "JARRELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-17",
"last_updated": "2014-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N/A",
"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 Jun 25, 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.