Active NPI
Jennifer Lynne Joy Cornejo
- Audiologist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A-196
- Practice address
- 5320 S Rainbow Blvd Ste 250
Las Vegas, NV 89118-1896 - Phone
- (702) 671-6480
- Fax
- (702) 671-6481
- NPI assigned
- May 15, 2008
- Last updated
- Nov 9, 2020
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | A-196 | NV | Primary |
Addresses
Primary practice location
5320 S Rainbow Blvd Ste 250
Las Vegas, NV 89118-1896
Mailing address
3016 W Charleston Blvd Ste 100
Las Vegas, NV 89102-1973
Phone (818) 451-9016
Other practice location 1
3150 N Tenaya Way
#112
Las Vegas, NV 89128-0443
Phone (702) 562-1777
Other practice location 2
5380 S Rainbow Blvd Ste 324
Las Vegas, NV 89118
Phone (702) 992-6828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992972293 | Medicaid | NV |
Other names 1
- Jennifer Lynne Joy Cornejo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5320 S Rainbow Blvd
Suite 250
Las Vegas, NV 89118-1807
Phone (702) 671-6480
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unlv Medicine | Current | Accepting new patients | |
| Unlv Medicine | Current | Accepting new patients | |
| Unlv Medicine | Current | Accepting new patients | |
| Unsom Multi-Spec GRP Pract S | Past | Accepting new patients |
Locations
1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300
1707 W Charleston Blvd
Ste 220
Las Vegas, NV 89102
Phone (702) 671-5070
2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700
3016 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 780-2315
3150 N Tenaya Way
Ste 112
Las Vegas, NV 89128
Phone (702) 562-1777
5320 S Rainbow Blvd
Ste 250
Las Vegas, NV 89118
Phone (702) 671-6480
6375 W Charleston Blvd
Ste A100A
Las Vegas, NV 89146
Phone (702) 253-0818
Organizations & group practices 4
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.
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- NPI 1538694575
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1992972293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3016 W CHARLESTON BLVD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021973",
"telephone_number": "818-451-9016",
"fax_number": "702-895-4014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5320 S RAINBOW BLVD STE 250",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891181896",
"telephone_number": "702-671-6480",
"fax_number": "702-671-6481"
}
],
"practiceLocations": [
{
"address_1": "3150 N Tenaya Way",
"address_2": "#112",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891280443",
"country_code": "US",
"telephone_number": "702-562-1777",
"fax_number": "702-671-6481",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5380 S Rainbow Blvd Ste 324",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "89118",
"country_code": "US",
"telephone_number": "702-992-6828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOY CORNEJO",
"first_name": "JENNIFER",
"middle_name": "LYNNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-15",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NV",
"license": "A-196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992972293",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "JOY CORNEJO",
"middle_name": "LYNNE",
"credential": "MA",
"code": "1",
"type": "Former Name"
}
]
}
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 Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.