Jared Kerry Green
Individual provider Active NPI Home Health Registered Nurse · Mesquite, NV
NPI 1801729355 · NPPES record last updated Jun 4, 2026
Key facts
- NPI
- 1801729355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 821483 (NV)
- Practice address
- 12 W Mesquite Blvd Ste 113
Mesquite, NV 89027-4774 - Phone
- (702) 346-4883
- Fax
- (702) 664-0426
- NPI assigned
- Jun 4, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 821483 | NV | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summerlin Healthcare, Inc. | Past | Accepting new patients | |
| Summerlin Healthcare, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice Registered Nurse | 163WH1000X | 821483 | NV | |
| Home Health Registered Nurse | 163WH0200X | 821483 | NV | Yes |
Addresses
Primary practice location
12 W Mesquite Blvd Ste 113
Mesquite, NV 89027-4774
Mailing address
12 W Mesquite Blvd Ste 113
Mesquite, NV 89027-4774
Phone (702) 346-4883
Other providers in Mesquite, NV
- Dan French
- Leila Gabo
- Eric J Garrett
- Erica Ann Garrett
- Nichole Bodily Gilbert
- Sandy Celeste Green
- Habib Medical LLC
- Laura L. Hall
- Phillip Hamilton
- Stephen R Hamilton
All providers in Mesquite, NV · Home Health Registered Nurse in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.