Provider Type Icon

DR. JENNIFER DEMICHELE M.D. NPI 1417199589


NPI Information

NPI: 1417199589
Provider Name: DR. JENNIFER DEMICHELE, M.D.
Classification: Pediatrics - 2080P0203X
Entity Type: Individual

Specialization: Pediatric Critical Care Medicine

PECOS Registration: Yes

Address:
9732 MOUNT LOMPOC CT
LAS VEGAS, NV
ZIP 89178
Phone: (203) 801-8075
Get Directions

DR. Jennifer Demichele, M.D. is a pediatric critical care medicine pediatrics in Las Vegas, NV. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. DR. Jennifer Demichele, M.D. NPI is 1417199589. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9732 MOUNT LOMPOC CT
LAS VEGAS, NV
ZIP 89178-511
Phone: (203) 801-8075
Fax: (585) 442-6580

The NPI 1417199589 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/3/2009 and was last updated on 11/15/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
22080P0203XPediatricsPediatric Critical Care Medicine16249NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.