Active NPI
Jennifer C Lim, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Las Vegas, NV
National Provider Identifier
1407059843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 34161
- Practice address
- 4230 Burnham Ave
Las Vegas, NV 89119 - Phone
- (702) 733-7866
- NPI assigned
- Jun 5, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 34161 | AZ | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 34161 | AZ | Primary |
Addresses
Primary practice location
4230 Burnham Ave
Las Vegas, NV 89119
Mailing address
1201 S Collegeville Rd
Collegeville, PA 19426-2998
Phone (702) 733-7866
Other practice location 1
8445 S Eastern Ave
Las Vegas, NV 89123-2893
Phone (702) 463-3784
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100512696 | Medicaid | NV | |
| 34161 | Other | AZ | MEDICAL LICENSE |
| 12350 | Other | NV | MEDICAL LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1407059843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 S COLLEGEVILLE RD",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194262998",
"telephone_number": "702-733-7866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4230 BURNHAM AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89119",
"telephone_number": "702-733-7866"
}
],
"practiceLocations": [
{
"address_1": "8445 S Eastern Ave",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891232893",
"country_code": "US",
"telephone_number": "702-463-3784",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIM",
"first_name": "JENNIFER",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "AZ",
"license": "34161",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AZ",
"license": "34161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100512696",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "34161",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "12350",
"state": "NV"
}
],
"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 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.