DR. JENNIFER JEAN AVENA (NPI# 1578528998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578528998 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER JEAN AVENA |
| Credential | D.O. |
| Practice Address |
1524 Pinto Ln Las Vegas NV 89106-4195 |
| Mailing Address |
5701 W Charleston Blvd Ste 100 Las Vegas NV 89146-1256 |
| Practice Telephone | 7023833999 |
| Practice Fax Number | 7013836243 |
| Mailing Telephone | 7028779514 |
| Mailing Fax Number | 7023123510 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
393 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
1524 PINTO LN |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-4195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699753434 | Renu Jain | Pediatrics | 1524 Pinto Ln, Las Vegas, NV 89106-4195 | 2006-01-03 |
| 1629697305 | Amy Dao | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln, Las Vegas, NV 89106-4195 | 2020-04-13 |
| 1417410325 | Manisha Kaur Singh | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln, Las Vegas, NV 89106-4195 | 2019-04-08 |
| 1104322338 | Gerard Holder | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln, Las Vegas, NV 89106-4195 | 2018-04-05 |
| 1790212751 | Michelle Granstrom Macdavid | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln, Las Vegas, NV 89106-4195 | 2017-05-21 |
| 1548796790 | Stephen Michael Smith | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln, 2nd Floor, Las Vegas, NV 89106-4195 | 2017-05-10 |
| 1205367786 | Carolina Frances Koletic | Pediatrics | 1524 Pinto Ln, 2nd Floor, Las Vegas, NV 89106-4195 | 2017-03-25 |
| 1982055562 | Dania Salahuddin | Pediatrics | 1524 Pinto Ln, 2nd Floor, Las Vegas, NV 89106-4195 | 2016-06-25 |
| 1912358680 | Carlene Michelle Samuel | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln, 2nd Floor, Las Vegas, NV 89106-4195 | 2016-06-23 |
| 1528418753 | Vonita Chawla | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln, Department of Pediatrics, 2nd Floor, Las Vegas, NV 89106-4195 | 2016-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207104 | Sibel Infusion Centers Sonpatki Pllc | Family Medicine | 8930 W Sunset Rd Ste 100, Las Vegas, NV 89148-5009 | 2018-03-03 |
| 1497708754 | Raymond F. Ortiz | Family Medicine | 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972 | 2006-05-18 |
| 1891774568 | Ram K Singh | Family Medicine | 4432 S Eastern Ave, Las Vegas, NV 89119 | 2006-01-11 |
| 1083247613 | Kayla Mcmillen | Family Medicine | 3041 E Flamingo Rd Ste A, Las Vegas, NV 89121-7447 | 2020-02-21 |
| 1568912574 | Ivyfer Dela Cruz | Family Medicine | 73 Spectrum Blvd, Las Vegas, NV 89101-4838 | 2016-10-13 |
| 1700224326 | Michael Laurence Resnick | Family Medicine | 851 S Rampart Blvd, S. 220, Las Vegas, NV 89145-4882 | 2013-06-05 |
| 1932466935 | David D.moon, D.o., Ltd | Family Medicine | 241 N Buffalo Dr, Bldg. 1, Las Vegas, NV 89145-0306 | 2012-04-13 |
| 1487947990 | Nevada Hospitalist Group - Subacute Division | Family Medicine | 6970 W Patrick Ln Ste 140, Las Vegas, NV 89113-0270 | 2011-05-17 |
| 1225364086 | Spectrum Family Medical | Family Medicine | 1120 Almond Tree Ln, Suite 201, Las Vegas, NV 89104-3229 | 2009-10-28 |
| 1659512762 | Edward Neil Fishman | Family Medicine | 5375 S Fort Apache Rd, Las Vegas, NV 89148-7623 | 2009-03-19 |
| 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.