JENNIFER BUITRAGO (NPI# 1073529822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073529822 |
| Entity Type | Individual |
| Full Name | JENNIFER BUITRAGO |
| Credential | CPNP |
| Practice Address |
1 Breakthrough Way Las Vegas NV 89135-3011 |
| Mailing Address |
10170 W Tropicana Ave # 156-252 Las Vegas NV 89147-8465 |
| Practice Telephone | 7027321493 |
| Practice Fax Number | 7027321080 |
| Mailing Telephone | 7027321493 |
| Mailing Fax Number | 7027321080 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN000838 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APN000838 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100506201 | 05 | |
| NV | 100510598 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889492 | Jennifer Buitrago | Nurse Practitioner | 3360 Deer Creek Alba Cir, Deerfield Beach, FL 33442-8428 | 2020-10-23 |
| 1184129900 | Jennifer Buitrago | Registered Nurse | 243 Charles St, Boston, MA 02114-3002 | 2018-03-25 |
| Street Address |
1 BREAKTHROUGH WAY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89135-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578563250 | Louis Maier Fink | Pathology | 1 Breakthrough Way, Las Vegas, NV 89135-3011 | 2005-07-26 |
| 1730718248 | Alliance for Childhood Diseases | Pharmacy | 1 Breakthrough Way, Las Vegas, NV 89135-3011 | 2020-04-06 |
| 1568845998 | Angela Berg | Nurse Practitioner | 1 Breakthrough Way, Las Vegas, NV 89135-3011 | 2015-07-02 |
| 1144658097 | Sally Basta | Specialist | 1 Breakthrough Way, Las Vegas, NV 89135-3011 | 2013-10-30 |
| 1053686972 | Regents of The University of California | Radiology | 1 Breakthrough Way, Las Vegas, NV 89135-3011 | 2012-03-09 |
| 1013292689 | Alliance for Childhood Diseases | Medical Genetics | 1 Breakthrough Way, Las Vegas, NV 89135-3011 | 2011-10-14 |
| 1487803854 | Rachelle R Thomas | Pharmacist | 1 Breakthrough Way, Las Vegas, NV 89135-3011 | 2008-09-10 |
| 1720254949 | Nevada Cancer Institute | Pathology | 1 Breakthrough Way, Las Vegas, NV 89135-3011 | 2008-05-07 |
| 1154594885 | Alan K Ikeda | Pediatrics | 1 Breakthrough Way, Las Vegas, NV 89135-3011 | 2008-04-02 |
| 1578740874 | Waseem Soud Alhushki | Pediatrics | 1 Breakthrough Way, Las Vegas, NV 89135-3011 | 2008-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743083 | Summerlin Medical | Durable Medical Equipment & Medical Supplies | 10300 W. Charleston Blvd., Suite 13, Las Vegas, NV 89135 | 2020-02-28 |
| 1902363344 | Arle Troy Ceniza Jumalon | Physical Therapist | 10401 West Charleston Blvd, Las Vegas, NV 89135 | 2019-02-21 |
| 1952887473 | Randon Ralph | Pharmacist | 10250 W.charleston Blvd, Las Vegas, NV 89135 | 2018-07-17 |
| 1528463981 | Century Vision Center, Chtd. | Optometrist | 10870 W. Charleston Blvd, Ste 105, Las Vegas, NV 89135 | 2014-10-28 |
| 1669808390 | Nourollah Ghahreman | Internal Medicine | 3291 Mission Creek Court, Las Vegas, NV 89135 | 2013-09-26 |
| 1033485560 | Jessica L Benesh | Speech-Language Pathologist | 11053 Crystal Crest Court, Las Vegas, NV 89135 | 2012-03-29 |
| 1053696237 | Jaclyn Latteri | Pharmacist | 5442 Nettle Way, Las Vegas, NV 89135 | 2011-10-19 |
| 1235384033 | Nancee Larson | Registered Nurse | 3418 Antique Rose Drive, Lasvegas, NV 89135 | 2008-11-20 |
| 1528250966 | Manish P Gupta | Internal Medicine | 66 Hawkridge Drive, Las Vegas, NV 89135 | 2007-08-09 |
| 1205036134 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 11720 W Charleston Blvd, Las Vegas, NV 89135 | 2007-07-19 |
| Find all providers in zip 89135 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292381 | Chs Caring Providers | Nurse Practitioner | 2330 Paseo Del Prado Ste C201, Las Vegas, NV 89102-4376 | 2020-10-15 |
| 1376157628 | Elizabeth Diana Moura | Nurse Practitioner | 8044 Farthings Hill Dr, Las Vegas, NV 89166-3701 | 2020-09-03 |
| 1639782493 | 4 Life Mental and Wellness Health | Nurse Practitioner | 3430 E Flamingo Rd Ste 140, Las Vegas, NV 89121-5003 | 2020-08-30 |
| 1861018236 | Kikina Wong | Nurse Practitioner | 8234 Violet Meadow Ct, Las Vegas, NV 89117-7607 | 2020-06-22 |
| 1306462742 | Total Care Medical Group LLC | Nurse Practitioner | 6040 S Durango Dr Ste 115, Las Vegas, NV 89113-1792 | 2020-06-22 |
| 1588286124 | Simrit Kaur Saraon Msn Pllc | Nurse Practitioner | 4604 Erin Glen St, Las Vegas, NV 89147-7253 | 2020-05-16 |
| 1730709577 | Michelle Cappatocio | Nurse Practitioner | 5270 S Fort Apache Rd Ste 330, Las Vegas, NV 89148-1726 | 2020-04-22 |
| 1992338800 | Kristen E Anderson | Nurse Practitioner | 9280 W Sunset Rd Ste 312, Las Vegas, NV 89148-4862 | 2020-02-19 |
| 1275172173 | Joan Lou Paras Nakar | Nurse Practitioner | 9793 Dakota Creek Ct, Las Vegas, NV 89141 | 2019-12-26 |
| 1972149102 | Mobile Medical Group LLC | Nurse Practitioner | 400 Shadow Ln Ste 210, Las Vegas, NV 89106-4358 | 2019-11-22 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.