Jaquelin Grosso

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

4555 E Sahara Ave Unit 259
Las Vegas, NV 89104-6372

Phone

(725) 227-0277

NPI assigned

Aug 19, 2020

Last updated

Jun 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1487266599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 E SAHARA AVE UNIT 259",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891046372",
            "telephone_number": "725-227-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 E SAHARA AVE UNIT 259",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891046372",
            "telephone_number": "725-227-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSO",
        "first_name": "JAQUELIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102122502",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Grossi
• Tammy Lee Grossklaus, AS
• Gary J Grossman, M.D.
• Stacey Allison Grossman, MSPT
• John Paul Grossmith, M.D.
• Mandy Grosvenor
• Brandy Grotewold
• Jillian Grothe
• Andre Lavel Grove, D.C.
• Jaswinder S Grover, M.D.

• Personal Care Attendant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Personal Care Attendant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.