Evelaine Marianne De Jesus

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17-0880 Issued in NV

Practice address

4510 S Eastern Ave Ste 5
Las Vegas, NV 89119-6118

Phone

(956) 708-3985

NPI assigned

Jan 20, 2016

Last updated

Feb 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maxicare Therapy and Wellness of NevadaGroup PAC ID 4183033954, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Maxicare Therapy and Wellness of Nevada

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1376175786
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1366809444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 S EASTERN AVE STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196118",
            "telephone_number": "956-708-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 S EASTERN AVE STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196118",
            "telephone_number": "956-708-3985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "923 Francis Dr",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785425133",
            "country_code": "US",
            "telephone_number": "956-530-1501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "EVELAINE MARIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "117278",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "17-0880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiquila De Guzman
• Yolanda De Hoyos
• Maria De Jesus Saavedra
• Aimee Hollaway De Jesus
• Esther Marie Abe De Jesus
• Josefina P De Jesus
• Julie De Jesus
• Maria De Jesus
• Arth Xaviery Pinlac De Jose
• Maria Del Carmen De la Campa Balado

• Occupational Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.