Individual provider Active NPI

Jackielyn B Perez, RRT

  • Registered Respiratory Therapist
  • Henderson, NV
National Provider Identifier
1396655643
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
RC3797 Issued in NV
Practice address
6346 Rusticated Stone Ave Unit 101
Henderson, NV 89011-1650
Phone
(702) 337-6595
NPI assigned
Sep 9, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X RC3797 NV Primary

Addresses

Primary practice location

6346 Rusticated Stone Ave Unit 101
Henderson, NV 89011-1650

Mailing address

6346 Rusticated Stone Ave Unit 101
Henderson, NV 89011-1650
Phone (702) 337-6595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1396655643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6346 RUSTICATED STONE AVE UNIT 101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890111650",
            "telephone_number": "702-337-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6346 RUSTICATED STONE AVE UNIT 101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890111650",
            "telephone_number": "702-337-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JACKIELYN",
        "middle_name": "B",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NV",
            "license": "RC3797",
            "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 Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.