Active NPI
Yoojin Lee-Sedera, O.M.D. N.D.
- Acupuncturist
- Las Vegas, NV
National Provider Identifier
1184929275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 2011
- Practice address
- 3030 S Jones Blvd
Ste 107
Las Vegas, NV 89146 - Phone
- (701) 708-2207
- Fax
- (888) 809-4639
- NPI assigned
- Jan 20, 2011
- Last updated
- May 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 2011 | NV | Primary |
| Naturopath | 175F00000X | 1806 | OR | |
| Naturopath | 175F00000X | 16-1557 | AZ |
Addresses
Primary practice location
3030 S Jones Blvd
Ste 107
Las Vegas, NV 89146
Mailing address
3030 S Jones Blvd
Ste 107
Las Vegas, NV 89146
Phone (701) 708-2207
Other names 1
- Yoojin Lee
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1806 | OR | MD | Mental Health Counselor |
| 16-1557 | AZ | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Rock Natural Medicine LLC | Acupuncturist | Current | Accepting new patients |
Locations
3030 S Jones Blvd
Ste 107
Las Vegas, NV 89146
Phone (701) 708-2207
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.
-
dba Las Vegas Integrative Medicine
- Acupuncturist
- Las Vegas, NV
- NPI 1689276610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1184929275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 S JONES BLVD",
"address_2": "STE 107",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89146",
"telephone_number": "701-708-2207",
"fax_number": "888-809-4639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 S JONES BLVD",
"address_2": "STE 107",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89146",
"telephone_number": "701-708-2207",
"fax_number": "888-809-4639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE-SEDERA",
"first_name": "YOOJIN",
"name_prefix": "Dr.",
"credential": "O.M.D. N.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-20",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NV",
"license": "2011",
"primary": true
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1806",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "16-1557",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YOOJIN",
"last_name": "LEE",
"credential": "N.D. O.M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.