Organization Active NPI

Nevada Community Health Alliance LLC

  • Community Health Worker
  • Las Vegas, NV
National Provider Identifier
1336071257
Registry record updated Jul 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
NEVADA COMMUNITY HEALTH ALLIANCE LLC
Practice address
3930 E Patrick LN
Las Vegas, NV 89120-4924
Phone
(951) 833-5625
NPI assigned
Jun 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2026

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

Authorized official

Name
Taniko Booker, CHW1-5249NPI 1518741859
Title
Provider-CHW PT89
Phone
(951) 833-5625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

3930 E Patrick LN
Las Vegas, NV 89120-4924

Mailing address

9280 W Sunset Rd Ste 414
Las Vegas, NV 89148-4862
Phone (951) 833-5625

Other practice location 1

9280 W Sunset Rd Ste 414
Las Vegas, NV 89148-4862
Phone (951) 833-5625

Other practice location 2

3930 E Patrick Ln
Las Vegas, NV 89120-4924
Phone (951) 833-5625

Other identifiers 1

IdentifierTypeStateIssuer
250044487MedicaidNV

National Provider Directory

National Provider Directory

Locations

5450 W Sahara Ave
Ste 330
Las Vegas, NV 89146
Phone (443) 365-3966

5450 W Sahara Ave
Ste 310
Las Vegas, NV 89146
Phone (951) 833-5625

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784332800000",
    "number": "1336071257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9280 W SUNSET RD STE 414",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484862",
            "telephone_number": "951-833-5625",
            "fax_number": "702-441-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 E PATRICK LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204924",
            "telephone_number": "951-833-5625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9280 W Sunset Rd Ste 414",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891484862",
            "country_code": "US",
            "telephone_number": "951-833-5625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3930 E Patrick Ln",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891204924",
            "country_code": "US",
            "telephone_number": "951-833-5625",
            "fax_number": "702-441-0380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEVADA COMMUNITY HEALTH ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "TANIKO",
        "authorized_official_title_or_position": "PROVIDER-CHW PT89",
        "authorized_official_telephone_number": "951-833-5625",
        "authorized_official_credential": "CHW1-5249"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250044487",
            "state": "NV"
        }
    ],
    "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 Jul 18, 2026; 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.