Mariana Jacquart

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

16-0669 Issued in NV

Practice address

8665 W Flamingo Rd Ste 2000
Las Vegas, NV 89147-8626

Phone

(702) 735-9755

NPI assigned

Jan 11, 2012

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 names 1

• Mariana Hall Former name

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aurora Pediatric Therapy LLC

  • Occupational Therapist
  • Las Vegas, NV
  • NPI 1780331686
  Medicare reassignment NPD

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1619247392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8665 W FLAMINGO RD STE 2000",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478626",
            "telephone_number": "702-735-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8665 W FLAMINGO RD STE 2000",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478626",
            "telephone_number": "702-735-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUART",
        "first_name": "MARIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "16-0669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANA",
            "last_name": "HALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kameron Jacobson, PT
• Kim Lynnette Jacobson
• Rebecca J Jacobson
• Rickie Jacome
• Marie J Jacon-Tyndall
• Adjoa Jacques, RBT
• Michael Allan Jacques, CRNA
• Eva Araceli Jacquez
• Rose Jacskon
• Jadams Corporation

• Occupational Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.