Angela D Williams, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN17731 Issued in NV

Practice address

3770 Howard Hughes Pkwy Ste 295
Las Vegas, NV 89169-0998

Phone

(702) 369-9828

NPI assigned

Feb 5, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1093578833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9416 WAKASHAN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891490501",
            "telephone_number": "702-717-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 HOWARD HUGHES PKWY STE 295",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891690998",
            "telephone_number": "702-369-9828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040 S Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891190810",
            "country_code": "US",
            "telephone_number": "702-463-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANGELA",
        "middle_name": "D",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NV",
            "license": "LPN17731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Williams
• Angela Williams
• Angela Williams
• Angela Williams
• Angela Williams
• Angelique Williams
• Aniecia Williams
• Anjanette Williams
• Annikka Mikko Williams
• Antionette Williams

• Licensed Practical Nurse in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Licensed Practical Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.