Active NPI
Tom Lee
- Personal Care Attendant
- Las Vegas, NV
National Provider Identifier
1194280958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- LEE-003-NV
- Practice address
- 3650 Stober Blvd
Las Vegas, NV 89103-1511 - Phone
- (917) 235-3455
- NPI assigned
- Feb 6, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | LEE-003-NV | NV | Primary |
Addresses
Primary practice location
3650 Stober Blvd
Las Vegas, NV 89103-1511
Mailing address
2900 S Valley View Blvd TRLR 1
Las Vegas, NV 89102-5929
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 |
|---|---|---|---|
| LEE-003-NV | NV | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1194280958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 S VALLEY VIEW BLVD TRLR 1",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891025929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 STOBER BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891031511",
"telephone_number": "917-235-3455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "TOM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-06",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NV",
"license": "LEE-003-NV",
"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 Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.