Individual provider Active NPI

Lazaro Cueto, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1750057345
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
832211 Issued in NV
Practice address
3270 N Buffalo Dr
Las Vegas, NV 89129-7402
Phone
(702) 676-2000
Fax
(702) 676-2042
NPI assigned
Aug 23, 2021
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 832211 NV Primary

Addresses

Primary practice location

3270 N Buffalo Dr
Las Vegas, NV 89129-7402

Mailing address

8989 Sweet Chestnut LN
Las Vegas, NV 89178-9368
Phone (786) 426-2157

Other identifiers 1

IdentifierTypeStateIssuer
1750057345MedicaidNV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220505001590 NV Practitioner - Nurse Practitioner 8224425517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brian Le DO PCGroup PAC ID 7618169517, 4 clinicians

Practice addresses (Care Compare)

3270 N Buffalo Dr
Las Vegas, NV 89129-7402
Phone (702) 676-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
832211NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Le DO PC CurrentSince May 1, 2022 Accepting new patients

Locations

3270 N Buffalo Dr
Las Vegas, NV 89129
Phone (702) 676-2000

3270 N Buffalo Dr
Ste 160
Las Vegas, NV 89129

8367 W Flamingo Rd
Ste 102
Las Vegas, NV 89147

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1750057345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8989 SWEET CHESTNUT LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891789368",
            "telephone_number": "786-426-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 N BUFFALO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297402",
            "telephone_number": "702-676-2000",
            "fax_number": "702-676-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUETO",
        "first_name": "LAZARO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "832211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750057345",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.