Active NPI
Yee K Lim, C.PED
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NV
National Provider Identifier
1669806808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 4815 W Russell Rd
Ste 1a
Las Vegas, NV 89118-6241 - Phone
- (702) 583-6192
- Fax
- (702) 637-7691
- NPI assigned
- Aug 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Specialist | 174400000X | 3389 | ID |
Addresses
Primary practice location
4815 W Russell Rd
Ste 1a
Las Vegas, NV 89118-6241
Mailing address
4815 W Russell Rd
Ste 1a
Las Vegas, NV 89118-6241
Phone (702) 583-6192
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 |
|---|---|---|---|
| 3389 | ID | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Care LLC | Current | Accepting new patients | |
| Back in Step | Current | Accepting new patients | |
| Tobin Medical LLC | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Adult Day Care Clinic/Center
- Las Vegas, NV
- NPI 1669171427
-
- Prosthetic/Orthotic Supplier
- Las Vegas, NV
- NPI 1912362245
-
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NV
- NPI 1972912475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1669806808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 W RUSSELL RD",
"address_2": "STE 1A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891186241",
"telephone_number": "702-583-6192",
"fax_number": "702-637-7691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 W RUSSELL RD",
"address_2": "STE 1A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891186241",
"telephone_number": "702-583-6192",
"fax_number": "702-637-7691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "YEE",
"middle_name": "K",
"credential": "C.PED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-23",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ID",
"license": "3389",
"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 May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.