Active NPI
Cherry Lei Underwood
- Registered Nurse
- Las Vegas, NV
National Provider Identifier
1700656402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN94932
- Practice address
- 4040 S Eastern Ave Ste 300
Las Vegas, NV 89119-0854 - Phone
- (702) 463-0300
- NPI assigned
- Jan 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN94932 | NV | Primary |
Addresses
Primary practice location
4040 S Eastern Ave Ste 300
Las Vegas, NV 89119-0854
Mailing address
4040 S Eastern Ave Ste 300
Las Vegas, NV 89119-0854
Other practice location 1
3930 Howard Hughes Pkwy Ste 300
Las Vegas, NV 89169-0946
Phone (702) 560-2192
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN94932 | NV | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jed Adam Enterprises, LLC | Current | Accepting new patients |
Locations
4040 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 463-0300
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.
-
- Home Health Agency
- Las Vegas, NV
- NPI 1598901100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1700656402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 S EASTERN AVE STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891190854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 S EASTERN AVE STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891190854",
"telephone_number": "702-463-0300"
}
],
"practiceLocations": [
{
"address_1": "3930 Howard Hughes Pkwy Ste 300",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891690946",
"country_code": "US",
"telephone_number": "702-560-2192",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "CHERRY LEI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-03",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN94932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.