Active NPI
Draper Jenkins Sr.
- Rehabilitation Practitioner
- Henderson, NV
National Provider Identifier
1407235195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 2850 W Horizon Ridge Pkwy Ste 200
Henderson, NV 89052-4395 - Phone
- (702) 430-4590
- NPI assigned
- May 27, 2015
- Last updated
- May 28, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
2850 W Horizon Ridge Pkwy Ste 200
Henderson, NV 89052-4395
Mailing address
9064 Starling Wing PL
Las Vegas, NV 89143-6405
Phone (325) 280-9689
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1407235195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9064 STARLING WING PL",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891436405",
"telephone_number": "325-280-9689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 W HORIZON RIDGE PKWY STE 200",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524395",
"telephone_number": "702-430-4590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "DRAPER",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-27",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"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 May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.