Active NPI
Jasmine Nicole Lewis, APRN, FNP-BC
- Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1457864241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN002669
- Practice address
- 6850 N Durango Dr Ste 204
Las Vegas, NV 89149-4596 - Phone
- (702) 867-1726
- Fax
- (702) 396-0245
- NPI assigned
- Nov 15, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN002669 | NV | Primary |
Addresses
Primary practice location
6850 N Durango Dr Ste 204
Las Vegas, NV 89149-4596
Mailing address
8906 Spanish Ridge Ave Ste 202
Las Vegas, NV 89148-1319
Phone (702) 330-3102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6850 N Durango Dr
Suite 204
Las Vegas, NV 89149-4596
Phone (702) 867-1726
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
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 and National Provider Directory roles.
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- NPI 1598906166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1457864241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8906 SPANISH RIDGE AVE STE 202",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891481319",
"telephone_number": "702-330-3102",
"fax_number": "702-912-4994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6850 N DURANGO DR STE 204",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891494596",
"telephone_number": "702-867-1726",
"fax_number": "702-396-0245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JASMINE",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-15",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APRN002669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.