Organization Active NPI

Jennifer Cribb PLLC

  • Primary Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1417467796
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Sep 19, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
13992539OtherCAQH

Other names 1

  • SAGE Health Management Doing business as

National Provider Directory

National Provider Directory

Ownership & 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.

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.

Verify at the official NPI Registry.