Jared Kerry Green

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

821483 Issued in 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

Last updated

Jun 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summerlin Healthcare, Inc.

  dba Comfort Home Health

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1639714967
  NPD (past)
• Summerlin Healthcare, Inc.

  dba Comfort Hospice

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1942723317
  NPD (past)

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1801729355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W MESQUITE BLVD STE 113",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890274774",
            "telephone_number": "702-346-4883",
            "fax_number": "702-664-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W MESQUITE BLVD STE 113",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890274774",
            "telephone_number": "702-346-4883",
            "fax_number": "702-664-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JARED",
        "middle_name": "KERRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "NV",
            "license": "821483",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NV",
            "license": "821483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan French
• Leila Gabo
• Eric J Garrett, PT, DPT
• Erica Ann Garrett, RN
• Nichole Bodily Gilbert
• Sandy Celeste Green
• Habib Medical LLC (Habib Medical)
• Laura L. Hall, PT, DPT
• Phillip Hamilton, DC
• Stephen R Hamilton, CRNA

• Home Health Registered Nurse in Mesquite, NV
• Providers in Mesquite, NV by specialty
• Home Health Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.