Active NPI
Tracy Li
- Adult Companion
- Las Vegas, NV
National Provider Identifier
1124836093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 3920 E Patrick LN Ste 105
Las Vegas, NV 89120-3927 - Phone
- (702) 848-2015
- NPI assigned
- Dec 24, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
3920 E Patrick LN Ste 105
Las Vegas, NV 89120-3927
Mailing address
3920 E Patrick LN Ste 105
Las Vegas, NV 89120-3927
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734998400000",
"number": "1124836093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 E PATRICK LN STE 105",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 E PATRICK LN STE 105",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203927",
"telephone_number": "702-848-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "TRACY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-24",
"last_updated": "2024-12-24",
"certification_date": "2024-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"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 Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.