Active NPI
Elijah Taylor Lee
- Community Health Worker
- Las Vegas, NV
National Provider Identifier
1437801909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 625 Shadow Lane Las Vegas, NV 89106
Las Vegas, NV 89106 - Phone
- (702) 895-3011
- NPI assigned
- Jan 25, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
625 Shadow Lane Las Vegas, NV 89106
Las Vegas, NV 89106
Mailing address
625 Shadow Lane Las Vegas, NV 89106
Las Vegas, NV 89106
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kirk Kerkorian School of Medicine at Unlv | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Las Vegas, NV
- NPI 1184546954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1437801909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 SHADOW LANE LAS VEGAS, NV 89106",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 SHADOW LANE LAS VEGAS, NV 89106",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89106",
"telephone_number": "702-895-3011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ELIJAH",
"middle_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-25",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"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 Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.