Individual provider Active NPI

Jessica Poole

  • Contractor
  • North Las Vegas, NV
National Provider Identifier
1467992925
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Practice address
5135 Camino Al Norte Ste 279
North Las Vegas, NV 89031-2420
Phone
(702) 278-3919
NPI assigned
Mar 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Information Technician 247000000X 20171130774 NV
Contractor 171W00000X Primary

Addresses

Primary practice location

5135 Camino Al Norte Ste 279
North Las Vegas, NV 89031-2420

Mailing address

5135 Camino Al Norte Ste 279
North Las Vegas, NV 89031-2420
Phone (702) 278-3919

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20171130774NVMDHealth Information Technician

Practice roles

OrganizationSpecialtyStatusNew patients
JP Medical Billing & Revenue LLC Contractor CurrentSince Feb 1, 2021 Accepting new patients
Ub Services LLC Contractor Past Accepting new patients

Locations

5135 Camino Al Norte
Ste 279
North Las Vegas, NV 89031
Phone (702) 278-3919

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1467992925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 CAMINO AL NORTE STE 279",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312420",
            "telephone_number": "702-278-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 CAMINO AL NORTE STE 279",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312420",
            "telephone_number": "702-278-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247000000X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information",
            "state": "NV",
            "license": "20171130774",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.