Unique Wilson

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

570 W Cheyenne Ave
North Las Vegas, NV 89030-3930

Phone

(702) 350-1149

NPI assigned

Apr 8, 2025

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Rise Homes

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
  • NPI 1316644271
  NPD

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1164216552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 W CHEYENNE AVE STE 190",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890303983",
            "telephone_number": "702-350-1149",
            "fax_number": "888-892-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 W CHEYENNE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890303930",
            "telephone_number": "702-350-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "UNIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronnell M Wilson
• Tattiyona Wilson
• Tela Marie Wilson, LCSW
• Timena Wilson
• Treshawn Wilson
• Valencia L Wilson
• Virginia Elizabeth Wilson
• Quintella Winbush
• Lori J. Winchell, DRPH, APRN
• Tamara Winn

• Community Health Worker in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Community Health Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.