Active NPI
Imaj Skin & Wellness Center LLC
- Family Medicine Physician
- Las Vegas, NV
National Provider Identifier
1194319517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- IMAJ SKIN & WELLNESS CENTER LLC
- Practice address
- 10161 Park Run Dr Ste 150
Las Vegas, NV 89145-8872 - Phone
- (408) 833-3158
- NPI assigned
- Feb 25, 2021
- Last updated
- Aug 19, 2025
- 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
- Cherry M Lee, NP
- Title
- Ceo
- Phone
- (702) 782-8941
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | ||
| Primary Care Nurse Practitioner | 363LP2300X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | NU |
Addresses
Primary practice location
10161 Park Run Dr Ste 150
Las Vegas, NV 89145-8872
Mailing address
10161 Park Run Dr Ste 150
Las Vegas, NV 89145-8872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3827 E Sunset Rd
Ste G
Las Vegas, NV 89120
Phone (408) 833-3158
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1700582178
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1013608371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755561600000",
"number": "1194319517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10161 PARK RUN DR STE 150",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891458872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10161 PARK RUN DR STE 150",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891458872",
"telephone_number": "408-833-3158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMAJ SKIN & WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-25",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "CHERRY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "702-782-8941",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"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 Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.