NPIMap

Organization Active NPI

Tri-Star Primary Care LLC

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1346866019
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
TRI-STAR PRIMARY CARE LLC
Practice address
8778 S Maryland Pkwy Ste 110
Las Vegas, NV 89123-6705
Phone
(725) 500-4645
Fax
(702) 442-0947
NPI assigned
Jun 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Katrina Montes Lee, APRN, FNP-CNPI 1154989358
Title
Owner
Phone
(725) 500-4645

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

8778 S Maryland Pkwy Ste 110
Las Vegas, NV 89123-6705

Mailing address

8778 S Maryland Pkwy Ste 110
Las Vegas, NV 89123-6705
Phone (725) 500-4645

Other names 1

  • Tri-Star Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200701002942 NV Part B Supplier - Clinic/Group Practice 4587087994 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

8778 S Maryland Pkwy
Ste 110
Las Vegas, NV 89123
Phone (702) 756-6120

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1346866019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8778 S MARYLAND PKWY STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891236705",
            "telephone_number": "725-500-4645",
            "fax_number": "702-442-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8778 S MARYLAND PKWY STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891236705",
            "telephone_number": "725-500-4645",
            "fax_number": "702-442-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STAR PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "MONTES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-500-4645",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Star Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tri-Star Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 18, 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.

Verify at the official NPI Registry.