Individual provider Active NPI

Jini Muhammad

  • Rehabilitation Psychologist
  • Las Vegas, NV
National Provider Identifier
1568809952
Registry record updated Mar 13, 2018
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Oct 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
Practice address
2775 S Jones Blvd Ste 100B
Las Vegas, NV 89146-5655
Phone
(702) 799-9259
NPI assigned
May 27, 2013
Last updated
Mar 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Psychologist 103TR0400X NU Primary

Addresses

Primary practice location

2775 S Jones Blvd Ste 100B
Las Vegas, NV 89146-5655

Mailing address

4122 Neighborly Court
North Las Vegas, NV 89032
Phone (702) 472-5401

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Family Si & CD Current Accepting new patients

Locations

2775 S Jones Blvd
Ste 100B
Las Vegas, NV 89146
Phone (702) 799-9259

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, 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": "1369612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1568809952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 NEIGHBORLY COURT",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89032",
            "telephone_number": "702-472-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 S JONES BLVD STE 100B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465655",
            "telephone_number": "702-799-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHAMMAD",
        "first_name": "JINI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-27",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.