1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Nurse Practitioner
  6. NPI Profile

JACLYN DE GROOT NP
NPI 1306186259
Nurse Practitioner - Family in Las Vegas, NV

Active since February 28, 2013
4505 S MARYLAND PKWY, LAS VEGAS, NV 89154(702) 895-3370 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2020, Jul 2, 2020 (2 updates tracked since 2020).

About Jaclyn De Groot Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN DE GROOT NP (NPI 1306186259) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (APRN001611) and active in the NPI registry since February 2013. She maintains a secondary practice location in Downey.

NPPES Registry Identity

NPI1306186259
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACLYN DE GROOTCredential: NP
Location Address4505 S MARYLAND PKWYLas Vegas, NV 89154-9900
Mailing Address4505 S Maryland Pkwy # 453020Las Vegas, NV 89154-9900 · (702) 895-3370
Phone(702) 895-3370
Sole ProprietorNo
Enumeration DateFebruary 28, 2013
Last NPPES UpdateJuly 6, 20202 updates tracked since enumeration
NPPES CertifiedJuly 6, 2020
✔ NPI 1306186259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NV · APRN001611✔ Licensed in CA · 22234
4505 S MARYLAND PKWY, Las Vegas, NV 89154
Open in Google Maps ↗

Secondary Practice Location 1

Location 110000 Lakewood BlvdDowney, CA 90240-4020 · Phone (562) 862-3684

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATIE SINGSANK PHD
Psychologist
4505 S MARYLAND PKWY
LAS VEGAS, NV 89154
Clark County (702) 895-3011
ALEXIS MAE MANGUBAT
Student in an Organized Health Care Education/Training Program
4505 S MARYLAND PKWY
LAS VEGAS, NV 89154
Clark County (702) 769-1199
DR. COLLEEN MARGARET PETERSON PH.D.
Marriage & Family Therapist
4505 S MARYLAND PKWY, BOX 453047
LAS VEGAS, NV 89154
Clark County (702) 895-4798
YASSI KUO-JACKSON
Psychologist
4505 S MARYLAND PKWY, BOX 452005
LAS VEGAS, NV 89154
Clark County (972) 367-4845
AADITHYA NATH
Registered Nurse
4505 S MARYLAND PKWY
LAS VEGAS, NV 89154
Clark County (702) 774-8658
BLAIR RUSH
Specialist/Technologist (Athletic Trainer)
4505 S MARYLAND PKWY
LAS VEGAS, NV 89154
Clark County (702) 895-3011
MICHELLE NATALIE STRONG PHD
Psychologist (Clinical)
4505 S MARYLAND PKWY
LAS VEGAS, NV 89154
Clark County (702) 895-1532
ELIZABETH LEON MS, LAT, ATC,NREMT
Specialist/Technologist (Athletic Trainer)
4505 S MARYLAND PKWY
LAS VEGAS, NV 89154
Clark County (702) 895-3011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn De Groot's NPI number?

The NPI number for Jaclyn De Groot is 1306186259. It was assigned to this individual provider in the NPPES registry on February 28, 2013.

Where is Jaclyn De Groot located?

Jaclyn De Groot practices at 4505 S Maryland Pkwy, Las Vegas, NV 89154. The listed phone number is (702) 895-3370.

What is Jaclyn De Groot's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jaclyn De Groot was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.