Active NPI
Conrado Neri Yutuc, FNP-C
- Nurse Practitioner
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 859309
- Practice address
- 1687 Sonoran Bluff Ave
Henderson, NV 89014-2678 - Phone
- (702) 881-0909
- NPI assigned
- Sep 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 859309 | NV | Primary |
Addresses
Primary practice location
1687 Sonoran Bluff Ave
Henderson, NV 89014-2678
Mailing address
3000 W Charleston Blvd Ste 3
Las Vegas, NV 89102-1990
Phone (702) 881-0909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1704973205 | Other | NV | DL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3000 W Charleston Blvd
Suite 5
Las Vegas, NV 89102-1940
Phone (702) 877-9511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calaguas LTD | Current | Accepting new patients |
Locations
3000 W Charleston Blvd
Ste 3
Las Vegas, NV 89102
3000 W Charleston Blvd
Ste 5
Las Vegas, NV 89102
Phone (702) 623-7205
3009 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 453-4042
3000 W Charleston Blvd
Ste 1
Las Vegas, NV 89102
Phone (702) 870-1114
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1447971486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 W CHARLESTON BLVD STE 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021990",
"telephone_number": "702-881-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1687 SONORAN BLUFF AVE",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890142678",
"telephone_number": "702-881-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUTUC",
"first_name": "CONRADO",
"middle_name": "NERI",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-08",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "859309",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DL",
"identifier": "1704973205",
"state": "NV"
}
],
"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 Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.