Active NPI
Healthy You Medical Group LLC
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1851080147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | healthyyoumedicalgroup@gmail.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider Directory- Tax ID family
- Healthy You Medical Group LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1659143188
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.