Active NPI
Luis Carlos Coello Guillen, APRN
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1831085778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 836876
- Practice address
- 4275 Burnham Ave Ste 210
Las Vegas, NV 89119-5400 - Phone
- (702) 384-7669
- Fax
- (702) 385-7669
- NPI assigned
- Jun 17, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 836876 | NV | Primary |
Addresses
Primary practice location
4275 Burnham Ave Ste 210
Las Vegas, NV 89119-5400
Mailing address
1920 Del Mar Ave
Las Vegas, NV 89169-1708
Phone (725) 322-4441
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3028940 | NV | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1831085778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 DEL MAR AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891691708",
"telephone_number": "725-322-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4275 BURNHAM AVE STE 210",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195400",
"telephone_number": "702-384-7669",
"fax_number": "702-385-7669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COELLO GUILLEN",
"first_name": "LUIS",
"middle_name": "CARLOS",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-17",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "836876",
"primary": true
}
],
"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 Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.