Active NPI
Jacqueline Mollinedo
- Personal Care Attendant
- Las Vegas, NV
National Provider Identifier
1962053397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 2000 W Mesquite Ave
Las Vegas, NV 89106-3761 - Phone
- (702) 862-4942
- NPI assigned
- Sep 26, 2019
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | NV | ||
| Adult Companion | 372600000X | NV | ||
| Attendant Care Provider | 3747A0650X | NV | ||
| Homemaker | 376J00000X | NV | ||
| Personal Care Attendant | 3747P1801X | NV | Primary |
Addresses
Primary practice location
2000 W Mesquite Ave
Las Vegas, NV 89106-3761
Mailing address
2121 E Flamingo Rd Ste 106
Las Vegas, NV 89119-5123
Phone (702) 862-4942
Other practice location 1
2121 E Flamingo Rd Ste 106
Las Vegas, NV 89119-5123
Phone (702) 862-4942
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": "1569456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1962053397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 E FLAMINGO RD STE 106",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195123",
"telephone_number": "702-862-4942",
"fax_number": "702-825-0595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 W MESQUITE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063761",
"telephone_number": "702-862-4942"
}
],
"practiceLocations": [
{
"address_1": "2121 E Flamingo Rd Ste 106",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891195123",
"country_code": "US",
"telephone_number": "702-862-4942",
"fax_number": "702-825-0595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLLINEDO",
"first_name": "JACQUELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-26",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NV",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NV",
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "NV",
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NV",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NV",
"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 Jan 10, 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.