Individual provider Active NPI

Jaime Blank Gerber, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Las Vegas, NV
National Provider Identifier
1457471443
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MD60027256 Issued in WA
Practice address
2217 Paradise Rd Ste a
Las Vegas, NV 89104-2514
Phone
(888) 224-0804
NPI assigned
Mar 31, 2007
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD60027256 WA Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 277564 MA
Geriatric Medicine (Family Medicine) Physician 207QG0300X 25MA10959100 NJ
Geriatric Medicine (Family Medicine) Physician 207QG0300X 235045-1 NY
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD22652 ME
Geriatric Medicine (Family Medicine) Physician 207QG0300X 0101270908 VA
Geriatric Medicine (Family Medicine) Physician 207QG0300X 2020-03550 NC
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME159895 FL

Addresses

Primary practice location

2217 Paradise Rd Ste a
Las Vegas, NV 89104-2514

Mailing address

12345 Lake City Way NE # 3127
Seattle, WA 98125-5401
Phone (425) 333-8849

Other identifiers 2

IdentifierTypeStateIssuer
0239193OtherWAL&I
1457471443MedicaidWA

Other names 1

  • Jaime Lynn Blank Former name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME159895FLMDGeriatric Medicine (Family Medicine) Physician
277564MAMDGeriatric Medicine (Family Medicine) Physician
MD22652MEMDGeriatric Medicine (Family Medicine) Physician
2020-03550NCMDGeriatric Medicine (Family Medicine) Physician
25MA10959100NJMDGeriatric Medicine (Family Medicine) Physician
235045-1NYMDGeriatric Medicine (Family Medicine) Physician
0101270908VAMDGeriatric Medicine (Family Medicine) Physician
MD60027256WAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Association of University Physicians Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1457471443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 LAKE CITY WAY NE # 3127",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255401",
            "telephone_number": "425-333-8849",
            "fax_number": "615-544-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 PARADISE RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891042514",
            "telephone_number": "888-224-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBER",
        "first_name": "JAIME",
        "middle_name": "BLANK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD60027256",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "277564",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA10959100",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "235045-1",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "ME",
            "license": "MD22652",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0101270908",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "2020-03550",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME159895",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0239193",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457471443",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "BLANK",
            "middle_name": "LYNN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 9, 2026; 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.