Jaime Ellis Witty

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1534 Issued in NV

Practice address

9029 S Pecos Rd
Suite 2800
Henderson, NV 89074-7197

Phone

(702) 739-8323

NPI assigned

Feb 13, 2014

Last updated

Jul 14, 2014By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1417371238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9029 S. PECOS",
            "address_2": "SUITE 2800",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89074",
            "telephone_number": "702-739-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9029 S PECOS RD",
            "address_2": "SUITE 2800",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747197",
            "telephone_number": "702-739-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTY",
        "first_name": "JAIME",
        "middle_name": "ELLIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Allison Wirges, D.D.S
• Amanda Wirig
• Matthew Richard Wirig, D.M.D.
• Jeri L Wise, MPT
• Wishing Well Child and Family Therapy LLC
• Jenny Wixom-Cooper
• John R Wohlwend, MD
• Josephine Virginia Wojtkowiak, DPT
• Adrienne Wolf
• Robert Hugh Wolf, D.C.

• Physician Assistant in Henderson, NV
• Providers in Henderson, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.