Active NPI
Jennifer Barba Mayer, PA-C
- Adult Medicine Physician
- Pahrump, NV
National Provider Identifier
1619484797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- PA0393
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA0393 | NV | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychiatry Physician
- Bellflower, CA
- NPI 1821927997
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.