Individual provider Active NPI

Jenerie Reniedo Navarrete-Pak, NP

  • Family Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1811238579
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN001460 Issued in NV
Practice address
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone
(702) 791-9000
NPI assigned
Mar 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN001460 NV Primary

Addresses

Primary practice location

6900 N Pecos Rd
North Las Vegas, NV 89086-4400

Mailing address

2975 S Rainbow Blvd Ste H
Las Vegas, NV 89146-6598
Phone (702) 485-2800

Other practice location 1

8275 S Eastern Ave Ste 200
Las Vegas, NV 89123-2545
Phone (702) 900-5616

Other practice location 2

500 N Rainbow Blvd
Ste 300
Las Vegas, NV 89107-1061
Phone (702) 389-1148

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140129001012 NV Practitioner - Nurse Practitioner 6305075029 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN001460NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reliance Medical Group Family Current Accepting new patients
Reliance Health and Wellness Solutions LLC Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Tufail & Associates CurrentSince Jan 13, 2020 Accepting new patients
Vegas Valley Primary Care CurrentSince Jan 18, 2020 Accepting new patients
Christopher S Choi MD a Prof Corp PastSince Sep 29, 2010 Accepting new patients
Kuhl Consulting LV Past Accepting new patients

Locations

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

8275 S Eastern Ave
Ste 200
Las Vegas, NV 89123
Phone (702) 302-4435

2975 S Rainbow Blvd
Ste H
Las Vegas, NV 89146
Phone (702) 485-2800

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

500 N Rainbow Blvd
Ste 300
Las Vegas, NV 89107
Phone (702) 389-1148

9811 W Charleston Blvd
Ste 2695
Las Vegas, NV 89117

9280 W Sunset Rd
Ste 418
Las Vegas, NV 89148
Phone (702) 362-3422

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1811238579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 S RAINBOW BLVD STE H",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466598",
            "telephone_number": "702-485-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-791-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8275 S Eastern Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891232545",
            "country_code": "US",
            "telephone_number": "702-900-5616",
            "fax_number": "702-389-1149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N RAINBOW BLVD",
            "address_2": "STE 300",
            "address_purpose": "LOCATION",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071061",
            "country_code": "US",
            "telephone_number": "702-389-1148",
            "fax_number": "702-389-1149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVARRETE-PAK",
        "first_name": "JENERIE",
        "middle_name": "RENIEDO",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN001460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.