Individual provider Active NPI

Clayton Ryan Tuttle, B.S

  • Rehabilitation Counselor
  • Henderson, NV
National Provider Identifier
1306181425
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
Practice address
1481 W Warm Springs Rd # R
#129
Henderson, NV 89014-7633
Phone
(702) 547-0201
Fax
(702) 944-7846
NPI assigned
Nov 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X Primary

Addresses

Primary practice location

1481 W Warm Springs Rd # R
#129
Henderson, NV 89014-7633

Mailing address

1481 W Warm Springs Rd # R
#129
Henderson, NV 89014-7633
Phone (702) 547-0201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1306181425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 W WARM SPRINGS RD # R",
            "address_2": "#129",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890147633",
            "telephone_number": "702-547-0201",
            "fax_number": "702-944-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 W WARM SPRINGS RD # R",
            "address_2": "#129",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890147633",
            "telephone_number": "702-547-0201",
            "fax_number": "702-944-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "CLAYTON",
        "middle_name": "RYAN",
        "credential": "B.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.