Active NPI
Taylor Lee
- Student in an Organized Health Care Education/Training Program
- Las Vegas, NV
National Provider Identifier
1649039884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 37100
- Practice address
- 901 Rancho Lane
Suite #135
Las Vegas, NV 89106-3826 - Phone
- (702) 383-7885
- NPI assigned
- Mar 18, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 37100 | NE | Primary |
Addresses
Primary practice location
901 Rancho Lane
Suite #135
Las Vegas, NV 89106-3826
Mailing address
901 Rancho Lane
Suite #135
Las Vegas, NV 89106-3826
Phone (702) 383-7885
Other practice location 1
4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone (702) 653-2273
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 |
|---|---|---|---|
| 37100 | NE | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1649039884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 RANCHO LANE",
"address_2": "SUITE #135",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063826",
"telephone_number": "702-383-7885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 RANCHO LANE",
"address_2": "SUITE #135",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063826",
"telephone_number": "702-383-7885"
}
],
"practiceLocations": [
{
"address_1": "4700 Las Vegas Blvd N",
"address_purpose": "LOCATION",
"city": "Nellis AFB",
"state": "NV",
"postal_code": "891916600",
"country_code": "US",
"telephone_number": "702-653-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-18",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NE",
"license": "37100",
"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 Mar 11, 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.