Samuel Lamont Jerideau, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

895490 Issued in NV

Practice address

3249 W Craig Rd Ste 140
North Las Vegas, NV 89032-0789

Phone

(702) 329-1732

Fax

(702) 410-5553

NPI assigned

Jul 10, 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

Enrolled in NV

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 1

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Accessible Healthcare Providers, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1780618744
  NPD (past) Authorized official
• Harold Wagner DO PA

  • Geriatric Medicine (Family Medicine) Physician
  • Dallas, TX
  • NPI 1255438701
  NPD (past)
• Indelible Health & Wellness LLC

  • Family Medicine Physician
  • Grand Prairie, TX
  • NPI 1245569946
  NPD (past)
• Medical Clinic of North Texas PLLC

  • Radiation Oncology Clinic/Center
  • Arlington, TX
  • NPI 1184131625
  NPD (past)
• Texas Em-1 Medical Services PA

  • Emergency Medicine Physician
  • Mesquite, TX
  • NPI 1659446193
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1790719748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3172 N RAINBOW BLVD # 1122",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084534",
            "telephone_number": "214-516-4681",
            "fax_number": "702-395-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 W CRAIG RD STE 140",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320789",
            "telephone_number": "702-329-1732",
            "fax_number": "702-410-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERIDEAU",
        "first_name": "SAMUEL",
        "middle_name": "LAMONT",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "895490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Jensen
• Jaren Tolman Jensen, DDS
• Whitney Jensen
• Emmanuel Jenson
• Yoojin Jeong
• Tamanika Jernigan
• Oluwafemi Peter Jesufowokan
• Jesus Saves Family Church
• Jesus Saves Family Church
• Jesus Saves Family Church

• Family Nurse Practitioner in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.