Jatreyllis Lavarous McCloud, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN17833 Issued in NV

Practice address

930 N 4TH St
Las Vegas, NV 89101-1001

Phone

(702) 383-4044

Fax

(702) 383-8335

NPI assigned

Oct 9, 2017

Sex

Male

Sole proprietor

No

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": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1780194373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N 4TH ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891011001",
            "telephone_number": "702-383-4044",
            "fax_number": "702-383-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N 4TH ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891011001",
            "telephone_number": "702-383-4044",
            "fax_number": "702-383-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOUD",
        "first_name": "JATREYLLIS",
        "middle_name": "LAVAROUS",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NV",
            "license": "LPN17833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teyanna Louise McClinton
• Jeffrey McClish
• Karen McClodden
• Lynda C McCloskey, R.N.,B.S.N.,M.P.A.
• Chelsea A McCloud
• Keesha McCloud
• Laniqua McCloud
• Michael McCloud
• Montrell McCloud
• Nichole McCloud

• Licensed Practical Nurse in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Licensed Practical Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; 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.