Active NPI
Jessica Regina Walter, O.M.D.
- Acupuncturist
- Las Vegas, NV
National Provider Identifier
1396998118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1026
- Practice address
- 3320 N Buffalo Dr Ste 205B
Las Vegas, NV 89129-7436 - Phone
- (702) 533-3699
- Fax
- (702) 359-9862
- NPI assigned
- Oct 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1026 | NV | Primary |
Addresses
Primary practice location
3320 N Buffalo Dr Ste 205B
Las Vegas, NV 89129-7436
Mailing address
3320 N Buffalo Dr Ste 205B
Las Vegas, NV 89129-7436
Phone (702) 533-3699
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1026 | NV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1396998118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 N BUFFALO DR STE 205B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891297436",
"telephone_number": "702-533-3699",
"fax_number": "702-359-9862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 N BUFFALO DR STE 205B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891297436",
"telephone_number": "702-533-3699",
"fax_number": "702-359-9862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "JESSICA",
"middle_name": "REGINA",
"name_prefix": "Dr.",
"credential": "O.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-23",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NV",
"license": "1026",
"primary": true
}
],
"identifiers": [],
"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 Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.