Individual provider Active NPI

Jenny Kathleen Gober McDaniel, MD

  • Pediatric Hematology & Oncology Physician
  • Las Vegas, NV
National Provider Identifier
1922395649
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
26872 Issued in NV
Practice address
8352 W Warm Springs Rd Ste 200
Las Vegas, NV 89113-3629
Phone
(702) 330-0555
Fax
(702) 832-1128
NPI assigned
Jul 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X LL33830 SC
Pediatrics Physician 208000000X 2017-01884 NC
Pediatric Hematology & Oncology Physician 2080P0207X 2017-01884 NC
Pediatric Hematology & Oncology Physician 2080P0207X 26872 NV Primary

Addresses

Primary practice location

8352 W Warm Springs Rd Ste 200
Las Vegas, NV 89113-3629

Mailing address

8352 W Warm Springs Rd Ste 200
Las Vegas, NV 89113-3629
Phone (702) 330-0555

Other practice location 1

6880 S McCarran Blvd Ste 4
Reno, NV 89509-6129
Phone (702) 330-0555

Other identifiers 1

IdentifierTypeStateIssuer
250036193MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170927000397 NC Practitioner - Hematology/OncologyPractitioner - Pediatric Medicine 9931323805 Reassigns benefits to 1 organization
I20250306003099 NV Practitioner - Hematology 9931323805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hemostasis and Thrombosis Center of NevadaGroup PAC ID 4688935554, 3 clinicians

Practice addresses (Care Compare)

8352 W Warm Springs Rd
Suite 200
Las Vegas, NV 89113-3629
Phone (702) 330-0555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LL33830SCMDPediatrics Physician
2017-01884NCMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital Current Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2014 Accepting new patients
University of Alabama Health Services Foundation, PC Pediatrics CurrentSince Jul 1, 2014 Accepting new patients
The Presbyterian Hospital Pediatric Hematology-Oncology CurrentSince Sep 1, 2017 Accepting new patients
Hemostasis and Thrombosis Center of Nevada Pediatric Hematology-Oncology CurrentSince Feb 26, 2025 Accepting new patients
The Presbyterian Hospital CurrentSince Sep 1, 2017 Accepting new patients

Locations

703 Volker Hall
Birmingham, AL 35294
Phone (205) 934-3795

1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100

301 Hawthorne Ln
Ste 100
Charlotte, NC 28204
Phone (704) 384-1900

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

6 Steptoe Cir
Ely, NV 89301
Phone (775) 289-3001

8352 W Warm Springs Rd
Ste 200
Las Vegas, NV 89113
Phone (702) 330-0555

1623 Hospital Loop
Owyhee, NV 89832
Phone (775) 757-2403

6880 S McCarran Blvd
Ste 4
Reno, NV 89509
Phone (702) 330-0555

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

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1922395649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8352 W WARM SPRINGS RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133629",
            "telephone_number": "702-330-0555",
            "fax_number": "702-832-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8352 W WARM SPRINGS RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133629",
            "telephone_number": "702-330-0555",
            "fax_number": "702-832-1128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6880 S McCarran Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895096129",
            "country_code": "US",
            "telephone_number": "702-330-0555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOBER MCDANIEL",
        "first_name": "JENNY",
        "middle_name": "KATHLEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "LL33830",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2017-01884",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NC",
            "license": "2017-01884",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NV",
            "license": "26872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250036193",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.