Organization Active NPI

Yentl Serrano

  • Nutritionist
  • Las Vegas, NV
National Provider Identifier
1558953794
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
YENTL SERRANO
Practice address
1875 Village Center Cir # 100
Las Vegas, NV 89134-6369
Phone
(702) 529-0699
NPI assigned
Feb 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Yentl Serrano
Title
Applied Clinical Nutritionist
Phone
(702) 529-0699

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X Primary
Rehabilitation CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 225C00000X

Addresses

Primary practice location

1875 Village Center Cir # 100
Las Vegas, NV 89134-6369

Mailing address

1875 Village Center Cir # 100
Las Vegas, NV 89134-6369

National Provider Directory

National Provider Directory

Locations

1875 Village Center Cir
#100
Las Vegas, NV 89134
Phone (702) 529-0699

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1558953794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 VILLAGE CENTER CIR # 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 VILLAGE CENTER CIR # 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346369",
            "telephone_number": "702-529-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YENTL SERRANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "YENTL",
        "authorized_official_title_or_position": "APPLIED CLINICAL NUTRITIONIST",
        "authorized_official_telephone_number": "702-529-0699"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 25, 2025; 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.