SHAKENDRA LEE RN
NPI 1063976462
Licensed Psychiatric Technician in Las Vegas, NV

Active since January 30, 2019
3035 S MARYLAND PKWY, LAS VEGAS, NV 89109(702) 376-4557 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2022, Jan 30, 2019 (2 updates tracked since 2019).

About Shakendra Lee Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAKENDRA LEE RN (NPI 1063976462) is an individual licensed psychiatric technician in Las Vegas, Nevada and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1063976462
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameSHAKENDRA LEECredential: RN
Location Address3035 S MARYLAND PKWYLas Vegas, NV 89109-2200
Mailing Address3035 S Maryland PkwyLas Vegas, NV 89109-2200
Sole ProprietorNo
Enumeration DateJanuary 30, 2019
Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
NPI 1063976462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
Also ListedRegistered NurseTaxonomy 163W00000X · License 846512 (NV)
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 846512 (NV)
3035 S MARYLAND PKWY, Las Vegas, NV 89109

Other Names 1

Other Name (5)Shakendra Polk Rn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
3035 S MARYLAND PKWY
LAS VEGAS, NV 89109
Social Worker (Clinical)
3035 S MARYLAND PKWY
LAS VEGAS, NV 89109
Community Health Worker
3035 S MARYLAND PKWY
LAS VEGAS, NV 89109
Case Manager/Care Coordinator
3035 S MARYLAND PKWY
LAS VEGAS, NV 89109
Health and Wellness Coach
3035 S MARYLAND PKWY
LAS VEGAS, NV 89109
Case Manager/Care Coordinator
3035 S MARYLAND PKWY
LAS VEGAS, NV 89109
Behavior Technician
3035 S MARYLAND PKWY
LAS VEGAS, NV 89109
Community Health Worker
3035 S MARYLAND PKWY
LAS VEGAS, NV 89109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shakendra Lee's NPI number?

The NPI number for Shakendra Lee is 1063976462. It was assigned to this individual provider in the NPPES registry on January 30, 2019. The provider is also known as Shakendra Polk Rn.

Where is Shakendra Lee located?

Shakendra Lee practices at 3035 S Maryland Pkwy, Las Vegas, NV 89109. The listed phone number is (702) 376-4557.

What is Shakendra Lee's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Shakendra Lee was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.