Organization Active NPI

Healthy You Medical Group LLC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1851080147
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HEALTHY YOU MEDICAL GROUP LLC
Practice address
8290 W Sahara Ave Ste 152
Las Vegas, NV 89117-8932
Phone
(702) 900-9753
Fax
(702) 900-9982
NPI assigned
May 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Mr. Ireneo Lazo Guiking Jr., APRN
Title
Ceo
Phone
(702) 425-0172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

8290 W Sahara Ave Ste 152
Las Vegas, NV 89117-8932

Mailing address

8290 W Sahara Ave Ste 152
Las Vegas, NV 89117-8932
Phone (702) 425-0172

Other names 1

  • HEALTHY YOU MEDICAL GROUP LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL healthyyoumedicalgroup@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Healthy You Medical Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1851080147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8290 W SAHARA AVE STE 152",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178932",
            "telephone_number": "702-425-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8290 W SAHARA AVE STE 152",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178932",
            "telephone_number": "702-900-9753",
            "fax_number": "702-900-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY YOU MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "GUIKING",
        "authorized_official_first_name": "IRENEO",
        "authorized_official_middle_name": "LAZO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-425-0172",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "healthyyoumedicalgroup@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8290 W Sahara Ave Ste 152",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891178932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HEALTHY YOU MEDICAL GROUP LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEALTHY YOU MEDICAL GROUP LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 12, 2023; 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.