SAINT JUDE MEDICAL GROUP LLC HOME DOCTORS
NPI 1730713611
Nurse Practitioner in Henderson, NV

NPI Status: Active since February 28, 2020

Contact Information

871 CORONADO CENTER DR STE 200
HENDERSON, NV
ZIP 89052
Phone: (702) 934-6441
Fax: (702) 933-1060

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Nurse Practitioner

About SAINT JUDE MEDICAL GROUP LLC HOME DOCTORS

This page provides the complete NPI Profile along with additional information for Saint Jude Medical Group Llc Home Doctors, a provider established in Henderson, Nevada operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1730713611 assigned on February 2020. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated March 2026. The provider's . The authorized official of this NPI record is Nerissa Dimailig Aprn (Owner)

NPI: 1730713611
Provider Legal Name: SAINT JUDE MEDICAL GROUP LLC HOME DOCTORS
Other Organization Name
Other Name Type: (6)
Entity Type: Organization
Location Address: 871 CORONADO CENTER DR STE 200 HENDERSON, NV 89052
Location Phone: (702) 934-6441
Location Fax: (702) 933-1060
Mailing Address: 871 CORONADO CENTER DR STE 200 HENDERSON, NV 89052
Mailing Phone: (725) 228-5186
Mailing Fax: (702) 933-1060
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 02-28-2020
Last Update Date: 03-19-2026
Code Navigator

A nurse practitioner (NP) like Saint Jude Medical Group Llc Home Doctors is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Practitioner
Taxonomy Code: 363L00000X
Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description: (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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	261QP2300X	Ambulatory Health Care Facilities	Clinic/Center Primary Care

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: NERISSA DIMAILIG APRN
Authorized Official Title: OWNER
Authorized Official Phone: (725) 228-5186

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1730713611, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 6

Pos 4

Unchanged

Pos 5

Doubled → 14 → 1 + 4

Pos 6

Unchanged

Pos 7

Doubled → 6

Pos 8

Unchanged

Pos 9

Doubled → 2

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 7 → 14 → 5 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 6 + 0 + 1 + 4 + 1 + 6 + 6 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1

This NPI is valid

The calculated check digit is 1, which matches the last digit of 1730713611.