Jessica Dorothea Phelps, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

816249 Issued in NV

Practice address

129 W Lake Mead Pkwy Ste 10
Henderson, NV 89015-7055

Phone

(702) 489-5748

NPI assigned

Dec 16, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jessica Dorothea Phelps Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Dignity Health

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1770626426
  NPD (past)
• Lake Mead Pediatrics, LLC.

  • Pediatrics Physician
  • Henderson, NV
  • NPI 1073087581
  NPD (past)

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1801367941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 ALDER GREEN AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890026541",
            "telephone_number": "910-616-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W LAKE MEAD PKWY STE 10",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157055",
            "telephone_number": "702-489-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "JESSICA",
        "middle_name": "DOROTHEA",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "816249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PHELPS",
            "middle_name": "DOROTHEA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Phuong Thao Pham, DMD
• Dung Phan
• Lananh Phan, NP
• Lee Thi Phan, PA
• Nam Minh Phan, DMD
• Khiereny Phelps
• Unessa Phelps
• Phil Y. C. Chen, D.O., a Professional Corporation
• Emma Phillips, MA, BCBA, LBA
• Jennifer Phillips

• Family Nurse Practitioner in Henderson, NV
• Providers in Henderson, 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 Dec 16, 2018; 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.