Individual provider Active NPI

Yoojin Lee-Sedera, O.M.D. N.D.

  • Acupuncturist
  • Las Vegas, NV
National Provider Identifier
1184929275
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
2011 Issued in NV
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
1806ORMDMental Health Counselor
16-1557AZMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Red Rock Natural Medicine LLC Acupuncturist CurrentSince Nov 15, 2020 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.

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.

Verify at the official NPI Registry.