Jessica Joy Siewert, CHW II

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

CHW25035 Issued in NV

Practice address

3776 Howard Hughes Pkwy
Las Vegas, NV 89169-0937

Phone

(702) 245-0499

NPI assigned

Mar 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1922634880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 AUTUMN EVE ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3776 HOWARD HUGHES PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891690937",
            "telephone_number": "702-245-0499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Autumn Eve St",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890747837",
            "country_code": "US",
            "telephone_number": "806-677-4296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEWERT",
        "first_name": "JESSICA",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "CHW II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-22",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NV",
            "license": "CHW25035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwelll@outlook.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "250 Autumn Eve St",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890747837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwelll@outlook.com",
            "affiliation": "N",
            "address_1": "250 Autumn Eve St",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890747837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Juana S Sierra
• Maria Sierra
• Misty Marie Sierra
• Yeney Sierra
• Stacey Louise Siese, NP
• Lu Siewert
• Alfred Sifagaloa
• Alan Sifontes Tortolo
• Stephanie Marie Sifuentes-Smith
• Tiffany A W Sigal, M.D.

• Community Health Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Health Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.