Jessica Benavides Rueda

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

4829 Plata del Sol Dr
Las Vegas, NV 89121-6861

Phone

(702) 981-1484

Fax

(702) 995-0242

NPI assigned

Apr 19, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Luna Personal Care

  • In Home Supportive Care Agency
  • Las Vegas, NV
  • NPI 1619544202
  NPD

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1619664745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 BOULDER HWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891227418",
            "telephone_number": "702-686-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 PLATA DEL SOL DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891216861",
            "telephone_number": "702-981-1484",
            "fax_number": "702-995-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES RUEDA",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Benaloul, DMD
• Wendy Benard
• Brenna Elaine Benas, BSW, CADC
• Wladimir Benavides Ariosa
• Arlene Victorina Benavides Dela-O
• Breanna Charnelle Benavides
• Erandy Benavides
• Heather Benavides
• Irma Benavides
• Oscar Benavides

• Attendant Care Provider in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Attendant Care Provider in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.