Organization Active NPI

Red Rock Natural Medicine LLC

Doing business as Las Vegas Integrative Medicine

  • Acupuncturist
  • Las Vegas, NV
National Provider Identifier
1689276610
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
RED ROCK NATURAL MEDICINE LLC
Doing business as
Las Vegas Integrative Medicine
Practice address
3030 S Jones Blvd Ste 107
Las Vegas, NV 89146-6793
Phone
(702) 708-2207
Fax
(888) 809-4639
NPI assigned
Nov 13, 2020
Last updated
Nov 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Yoojin Medicine Lee-Sedera, OMD NDNPI 1184929275
Title
Provider
Phone
(702) 708-2207

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary

Addresses

Primary practice location

3030 S Jones Blvd Ste 107
Las Vegas, NV 89146-6793

Mailing address

3030 S Jones Blvd Ste 107
Las Vegas, NV 89146-6793
Phone (702) 708-2207

Other names 1

  • Las Vegas Integrative Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

3030 S Jones Blvd
Ste 107
Las Vegas, NV 89146
Phone (701) 708-2207

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1689276610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 S JONES BLVD STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466793",
            "telephone_number": "702-708-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 S JONES BLVD STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466793",
            "telephone_number": "702-708-2207",
            "fax_number": "888-809-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK NATURAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "LEE-SEDERA",
        "authorized_official_first_name": "YOOJIN",
        "authorized_official_middle_name": "MEDICINE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "702-708-2207",
        "authorized_official_credential": "OMD ND"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Vegas Integrative Medicine",
            "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 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.