Shadiamond Maiden

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

CHW1-6177 Issued in NV

Practice address

2225 Civic Center Dr Ste 224
North Las Vegas, NV 89030-6332

Phone

(702) 773-8315

Fax

(702) 852-0661

NPI assigned

Jul 23, 2025

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": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1265314959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 RESEARCH WAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897067913",
            "telephone_number": "702-220-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 CIVIC CENTER DR STE 224",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306332",
            "telephone_number": "702-773-8315",
            "fax_number": "702-852-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIDEN",
        "first_name": "SHADIAMOND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NV",
            "license": "CHW1-6177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richman Mahlangu
• Salam Mahli
• Katlin Aiden Mahmood, PAC
• Lilia Mahony
• Hai Mai, PHARMD
• Rita Maity, MD
• Andrea Major
• Dale Roderick Major Sr., A.P.N.
• Diane Hweelan Mak, M.D.
• Eric CHI-Ping Mak, M.D.

• 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 Aug 5, 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.