Active NPI
Jessica Tooredman Casey, MD
- Pediatric Urology Physician
- Las Vegas, NV
National Provider Identifier
1396901765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- 16320
- Practice address
- 6670 S Tenaya Way
Suite 180
Las Vegas, NV 89113-1966 - Phone
- (702) 369-4999
- NPI assigned
- Aug 5, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 125054160 | IL | |
| Pediatric Urology Physician | 2088P0231X | 01074156A | IN | |
| Urology Physician | 208800000X | 01074156A | IN | |
| Pediatric Urology Physician | 2088P0231X | 16320 | NV | Primary |
Addresses
Primary practice location
6670 S Tenaya Way
Suite 180
Las Vegas, NV 89113-1966
Mailing address
717 Pinnacle Heights LN
Las Vegas, NV 89144-0911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V113933 | Other | NV | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16320 | NV | MD | Pharmacist |
| 125054160 | IL | MD | Urology Physician |
| 01074156A | IN | MD | Pediatric Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Hospital and Medical Center, LLC | Past | Accepting new patients | |
| Summerlin Hospital Medical Center L L C | Past | Accepting new patients |
Interoperability endpoints
- jcasey13204@direct.umcsn.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Urology Physician
- Las Vegas, NV
- NPI 1134324668
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831189638
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1689611774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1396901765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 PINNACLE HEIGHTS LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891440911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6670 S TENAYA WAY",
"address_2": "SUITE 180",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891131966",
"telephone_number": "702-369-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "JESSICA",
"middle_name": "TOOREDMAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-05",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "125054160",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "IN",
"license": "01074156A",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IN",
"license": "01074156A",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "NV",
"license": "16320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "V113933",
"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 Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.