Active NPI
Chrislom Williams
- Occupational Therapist
- Las Vegas, NV
National Provider Identifier
1215748108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0402
- Practice address
- 4850 W Flamingo Rd Ste 25
Las Vegas, NV 89103-3707 - Phone
- (702) 871-9917
- NPI assigned
- Jan 18, 2025
- Last updated
- Jan 18, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0402 | NV | Primary |
Addresses
Primary practice location
4850 W Flamingo Rd Ste 25
Las Vegas, NV 89103-3707
Mailing address
4495 N Campbell Rd
Las Vegas, NV 89129-3624
Phone (702) 218-9503
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0402 | NV | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737158400000",
"number": "1215748108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4495 N CAMPBELL RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891293624",
"telephone_number": "702-218-9503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 W FLAMINGO RD STE 25",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891033707",
"telephone_number": "702-871-9917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CHRISLOM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-18",
"last_updated": "2025-01-18",
"certification_date": "2025-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "0402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 18, 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.