Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1639679897 Deactivated / Inactive NPI Female Practitioner

Jenine Johnson

Homemaker • Las Vegas, NV

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jenine Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 14, 2018
NPI Deactivation Date September 27, 2023
Total Practice Duration ~5 Years of Practice (2018 – 2023)

Professional Overview & Biography Verified Profile Summary

Jenine Johnson was a registered Homemaker practicing in Las Vegas, NV. Throughout an active medical career spanning 5 years, Jenine Johnson provided care at the practice location at 535 S DECATUR BLVD until profile deactivation on 2023-09-27.

Practice Location & Contact Primary Location

Practice Address

535 S Decatur Blvd

Las Vegas, NV 891073910

Telephone 7025622273
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Homemaker in Las Vegas, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
268 Specialists

Practicing in Las Vegas, NV (441 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Homemaker Primary Specialty

NUCC Taxonomy Code: 376J00000X

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Alain Padron

Technician - Personal Care Attendant

NPI 1003394289
Ranique Thomas

Technician - Personal Care Attendant

NPI 1003498247
Jennifer Nicholas

Technician - Personal Care Attendant

NPI 1003628314
Kevin Pagulayan

Technician - Personal Care Attendant

NPI 1013418714
Shenee Russell

Technician - Personal Care Attendant

NPI 1013483452
Dean Welch

Technician - Personal Care Attendant

NPI 1013612373

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated September 27, 2023

Record deactivated on September 27, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2023

Homemaker

NPI Profile Active February 14, 2018

NPI status registered as active in NPPES database

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Updated Practice Location February 14, 2018

Registered at 535 S DECATUR BLVD, LAS VEGAS, NV 891073910 (Tel: 7025622273)

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Updated Business Mailing Address February 14, 2018

Registered at 2851 S DECATUR BLVD APT 136, LAS VEGAS, NV 891028921 (Tel: 7755057038)

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Provider Name / Credentials Updated February 14, 2018

Recorded as JENINE JOHNSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2018

Homemaker

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2018

Chore Provider

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Initial NPI Registration & Enumeration February 14, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639679897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2018
Last Update: February 14, 2018
Deactivation Date: September 27, 2023

Mailing Address

2851 S Decatur Blvd Apt 136

Las Vegas, NV 891028921

Phone: 7755057038

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.