Jennifer Koth

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

CHW1-6332 Issued in NV

Practice address

2225 E Flamingo Rd Ste 202
Las Vegas, NV 89119-5127

Phone

(702) 462-0969

NPI assigned

Nov 25, 2025

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

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.

• Bighorn Clinic of Nevada PLLC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1346137908
  NPD

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1760344006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 E FLAMINGO RD STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195127",
            "telephone_number": "702-462-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E FLAMINGO RD STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195127",
            "telephone_number": "702-462-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTH",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "NV",
            "license": "CHW1-6332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Joseph Koszer, B.S. PHARM
• John Kot, M.D.
• Marie Kota, APRN
• Kayla Kotake, DPT
• Carl Koterwski, LAT ATC
• Binni Kothari
• Priya Nayankumar Kothari, MD
• Tenille Kothe
• Leigh Wilfred Kotkov, PH.D.
• Yaakov D Kotlarsky, PA

• Community Health Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Health Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.