Jaime Beckner

Individual provider Active NPI Home Health Registered Nurse · Las Vegas, NV

NPI 1477319366 · NPPES record last updated Feb 27, 2024

Key facts

NPI
1477319366
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
822626 (NV)
Practice address
4040 S Eastern Ave Ste 300
Las Vegas, NV 89119-0854
Phone
(702) 463-0300
NPI assigned
Feb 27, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
822626NVMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jed Adam Enterprises, LLC Current
since Mar 3, 2024
Accepting new patients

Locations

4040 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 463-0300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 822626 NV Yes

Addresses

Primary practice location

4040 S Eastern Ave Ste 300
Las Vegas, NV 89119-0854

Mailing address

4454 Solitude Falls Ave
North Las Vegas, NV 89084-4731
Phone (623) 293-8027

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Home Health Registered Nurse in Nevada

Sources for this page

Verify at the official NPI Registry.