Jerry Kent Sanders, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN42954 Issued in NV

Practice address

7200 Cathedral Rock Dr
Suite 210
Las Vegas, NV 89128-0438

Phone

(702) 430-5000

Fax

(702) 363-9164

NPI assigned

Oct 24, 2006

Sex

Male

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

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1730263203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7326 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296201",
            "telephone_number": "702-499-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 CATHEDRAL ROCK DR",
            "address_2": "SUITE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280438",
            "telephone_number": "702-430-5000",
            "fax_number": "702-363-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JERRY",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NV",
            "license": "RN42954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Sanders
• George Michael Sanders
• Ingrid Ann Sanders, CRT
• Isaiah Sanders
• Jacqueline Sanders, MSW, LSW
• Kamara Marie Sanders
• Kechante Sanders
• Kenya Sanders, RBT
• Kyle G Sanders
• Latrivia Sanders

• Registered Nurse First Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Registered Nurse First Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.