Active NPI
City of Las Vegas
- General Practice Physician
- Las Vegas, NV
National Provider Identifier
1184216970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- CITY OF LAS VEGAS
- Practice address
- 314 Foremaster LN
Las Vegas, NV 89101-1008 - Phone
- (702) 229-2484
- NPI assigned
- Feb 3, 2021
- Last updated
- Jul 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maurice Cloutier
- Title
- Manager
- Phone
- (702) 229-2485
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
314 Foremaster LN
Las Vegas, NV 89101-1008
Mailing address
495 S Main St
Las Vegas, NV 89101-6318
Phone (702) 229-6906
Other names 1
- Courtyard Homeless Resource Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721001600000",
"number": "1184216970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 S MAIN ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891016318",
"telephone_number": "702-229-6906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 FOREMASTER LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891011008",
"telephone_number": "702-229-2484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF LAS VEGAS",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-03",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A",
"authorized_official_last_name": "CLOUTIER",
"authorized_official_first_name": "MAURICE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "702-229-2485"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Courtyard Homeless Resource Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.