Jessica Johnson

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1037055 Issued in TX

Practice address

800 N Rainbow Blvd Ste 215
Las Vegas, NV 89107-1189

Phone

(800) 950-0026

Fax

(702) 952-5257

NPI assigned

May 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, NV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Telemind IncGroup PAC ID 4385945278, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Telemind Inc

  • Adult Mental Health Clinic/Center
  • Las Vegas, NV
  • NPI 1891174132

  Psychiatric/Mental Health, TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1679157176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N RAINBOW BLVD STE 215",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071189",
            "telephone_number": "800-950-0026",
            "fax_number": "702-952-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N RAINBOW BLVD STE 215",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071189",
            "telephone_number": "800-950-0026",
            "fax_number": "702-952-5257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Montana Ave Ste B-9",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799025673",
            "country_code": "US",
            "telephone_number": "800-950-0026",
            "fax_number": "702-952-5257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 N Ridge Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672126394",
            "country_code": "US",
            "telephone_number": "800-950-0026",
            "fax_number": "702-952-5257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 W 2nd St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895035640",
            "country_code": "US",
            "telephone_number": "800-950-0026",
            "fax_number": "702-952-5257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2516 Buddy Owens Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785045464",
            "country_code": "US",
            "telephone_number": "800-950-0026",
            "fax_number": "702-952-5257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6502 Bandera Rd Ste 200E",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782381454",
            "country_code": "US",
            "telephone_number": "210-640-7779",
            "fax_number": "702-952-5257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1037055",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "868970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeana Johnson
• Jeanette Johnson
• Jeffrey Loren Johnson, M.D.
• Jennifer Johnson
• Jennifer Hillam Johnson, PA-C
• Jessica Nicole Johnson
• Jhconda Johnson
• Jillian Johnson
• John Johnson
• Johnnetta Johnson

• Psychiatric/Mental Health Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.