Individual provider Active NPI

Jennifer Barba Mayer, PA-C

  • Adult Medicine Physician
  • Pahrump, NV
National Provider Identifier
1619484797
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
PA0393 Issued in NV
Practice address
2210 E Calvada Blvd
Pahrump, NV 89048-5804
Phone
(775) 727-6400
Fax
(775) 751-6592
NPI assigned
Jan 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA11995 TX
Adult Medicine Physician 207QA0505X PA0393 NV Primary

Addresses

Primary practice location

2210 E Calvada Blvd
Pahrump, NV 89048-5804

Mailing address

12020 Southern Highlands Pkwy
1103
Las Vegas, NV 89141
Phone (210) 867-2833

Other practice location 1

5901 Long Dr
Houston, TX 77087-1003
Phone (713) 970-7000

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA0393NVMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harmonia Holdings LLC Current Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1619484797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12020 SOUTHERN HIGHLANDS PKWY",
            "address_2": "1103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89141",
            "telephone_number": "210-867-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 E CALVADA BLVD",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485804",
            "telephone_number": "775-727-6400",
            "fax_number": "775-751-6592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 Long Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770871003",
            "country_code": "US",
            "telephone_number": "713-970-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYER",
        "first_name": "JENNIFER",
        "middle_name": "BARBA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11995",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NV",
            "license": "PA0393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.