Active NPI
Jessica Rae Jensen
- Psychologist
- Las Vegas, NV
National Provider Identifier
1891407680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 3067 E Warm Springs Rd Ste 100
Las Vegas, NV 89120-3750 - Phone
- (702) 202-0000
- Fax
- (702) 710-6521
- NPI assigned
- Dec 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
3067 E Warm Springs Rd Ste 100
Las Vegas, NV 89120-3750
Mailing address
50108 Glennbrittle Ave
Las Vegas, NV 89166
Phone (702) 373-0932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1891407680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50108 GLENNBRITTLE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89166",
"telephone_number": "702-373-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3067 E WARM SPRINGS RD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203750",
"telephone_number": "702-202-0000",
"fax_number": "702-710-6521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "JESSICA",
"middle_name": "RAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-23",
"last_updated": "2022-12-23",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.