Active NPI
Lakisha Danya Williams, MA, CHW, CLINIC MANA
- Community Health Worker
- North Las Vegas, NV
National Provider Identifier
1114729738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- CHW1-6057
- Practice address
- 3940 North Martin Luther King Boulevard
Suite 110
North Las Vegas, NV 89032 - Phone
- (702) 731-0909
- Fax
- (702) 724-4978
- NPI assigned
- Mar 25, 2025
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | CHW1-6057 | NV | Primary |
Addresses
Primary practice location
3940 North Martin Luther King Boulevard
Suite 110
North Las Vegas, NV 89032
Mailing address
3940 North Martin Luther King Boulevard
Suite 110
North Las Vegas, NV 89032
Phone (702) 731-0909
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHW1-6057 | NV | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1114729738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3940 NORTH MARTIN LUTHER KING BOULEVARD",
"address_2": "SUITE 110",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "89032",
"telephone_number": "702-731-0909",
"fax_number": "702-724-4978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3940 NORTH MARTIN LUTHER KING BOULEVARD",
"address_2": "SUITE 110",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "89032",
"telephone_number": "702-731-0909",
"fax_number": "702-724-4978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LAKISHA",
"middle_name": "DANYA",
"credential": "MA, CHW, CLINIC MANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-25",
"last_updated": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NV",
"license": "CHW1-6057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North 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 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.