Individual provider Active NPI

Jennifer Jane Verano Diaz, APRN-CNP

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1508608811
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
877102 Issued in NV
Practice address
7435 Valhalla LN
Las Vegas, NV 89123-1354
Phone
(818) 836-1955
NPI assigned
Jun 7, 2024
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 877102 NV Primary

Addresses

Primary practice location

7435 Valhalla LN
Las Vegas, NV 89123-1354

Mailing address

7435 Valhalla LN
Las Vegas, NV 89123-1354
Phone (818) 836-1955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250417000141 CA Practitioner - Nurse Practitioner 4284883042 Reassigns benefits to 1 organization
I20250610002654 NV Practitioner - Nurse Practitioner 4284883042 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Clinic CurrentSince Mar 8, 2025 Accepting new patients
Ideal Health Care and Medical Clinic, Inc. CurrentSince Mar 11, 2025 Accepting new patients

Locations

1500 S Central Ave
Ste 320
Glendale, CA 91204
Phone (818) 396-5670

1515 E Tropicana Ave
Ste 375
Las Vegas, NV 89119
Phone (702) 476-4867

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Joyahs Home HealthLas Vegas, NV, CCN 297259 Home health agency 5% Or Greater Direct Ownership Interest (60%)
Corporate Officer (60%)
Corporate Director (60%)
W-2 Managing Employee
Operational/Managerial Control (60%)
Jul 29, 2017
Jul 29, 2017
Jul 29, 2017
Jul 29, 2017
Jul 29, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, 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": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1508608811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7435 VALHALLA LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231354",
            "telephone_number": "818-836-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7435 VALHALLA LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231354",
            "telephone_number": "818-836-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JENNIFER JANE",
        "middle_name": "VERANO",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "877102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.