Active NPI
Jennifer Cribb PLLC
- Primary Care Clinic/Center
- Las Vegas, NV
National Provider Identifier
1417467796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- JENNIFER CRIBB PLLC
- Practice address
- 5536 S Fort Apache Rd Ste 102
Las Vegas, NV 89148-7687 - Phone
- (702) 456-8299
- Fax
- (702) 722-2558
- NPI assigned
- Oct 2, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jennifer Lynn Cribb, APRN
- Title
- Owner
- Phone
- (702) 456-8299
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NV | Primary |
Addresses
Primary practice location
5536 S Fort Apache Rd Ste 102
Las Vegas, NV 89148-7687
Mailing address
5536 S Fort Apache Rd Ste 102
Las Vegas, NV 89148-7687
Phone (702) 456-8299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13992539 | Other | CAQH |
Other names 1
- SAGE Health Management
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Primary Care Clinic/Center
- Las Vegas, NV
- NPI 1629597554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1417467796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5536 S FORT APACHE RD STE 102",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891487687",
"telephone_number": "702-456-8299",
"fax_number": "702-722-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5536 S FORT APACHE RD STE 102",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891487687",
"telephone_number": "702-456-8299",
"fax_number": "702-722-2558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER CRIBB PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-02",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "CRIBB",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-456-8299",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13992539",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAGE Health Management",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.