Individual provider Active NPI

Emily A Jensen, AUD

  • Audiologist
  • Henderson, NV
National Provider Identifier
1346841194
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-2884 Issued in NV
Practice address
3195 Saint Rose Pkwy Ste 210
Henderson, NV 89052-3504
Phone
(702) 792-6700
NPI assigned
Nov 6, 2020
Last updated
Nov 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-2884 NV Primary

Addresses

Primary practice location

3195 Saint Rose Pkwy Ste 210
Henderson, NV 89052-3504

Mailing address

3195 Saint Rose Pkwy Ste 210
Henderson, NV 89052-3504
Phone (702) 792-6700

Other practice location 1

8840 W Sunset Rd Ste A
Las Vegas, NV 89148-4897
Phone (702) 792-6700

Other practice location 2

7040 Smoke Ranch Rd
Las Vegas, NV 89128-8607
Phone (702) 792-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201120000921 NV Practitioner - Qualified Audiologist 8527479609 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A-2884NVMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose & Throat Consultants of Nevada CurrentSince Oct 19, 2020 Accepting new patients
Hearing Centers of Nevada Past Accepting new patients

Locations

3195 Saint Rose Pkwy
Ste 210
Henderson, NV 89052
Phone (702) 792-6700

7040 Smoke Ranch Rd
Las Vegas, NV 89128
Phone (702) 792-6700

8840 W Sunset Rd
#A
Las Vegas, NV 89148
Phone (702) 792-6700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1346841194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 SAINT ROSE PKWY STE 210",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523504",
            "telephone_number": "702-792-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 SAINT ROSE PKWY STE 210",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523504",
            "telephone_number": "702-792-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8840 W Sunset Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891484897",
            "country_code": "US",
            "telephone_number": "702-792-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7040 Smoke Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891288607",
            "country_code": "US",
            "telephone_number": "702-792-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "EMILY",
        "middle_name": "A",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NV",
            "license": "A-2884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.