Active NPI
Linda Lorraine Williams, NP
- Family Nurse Practitioner
- North Las Vegas, NV
National Provider Identifier
1386607620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024164799
- Practice address
- 4771 W Craig Rd
Take Care Health Systems
North Las Vegas, NV 89030 - Phone
- (702) 250-8641
- NPI assigned
- Apr 8, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024164799 | VA | Primary |
Addresses
Primary practice location
4771 W Craig Rd
Take Care Health Systems
North Las Vegas, NV 89030
Mailing address
3912 Moonshine Falls Ave
North Las Vegas, NV 89085-4487
Phone (702) 586-5760
Other names 1
- Ms. Linda Lorraine Williams-Mitcham
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024164799 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1386607620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3912 MOONSHINE FALLS AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890854487",
"telephone_number": "702-586-5760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4771 W CRAIG RD",
"address_2": "TAKE CARE HEALTH SYSTEMS",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "89030",
"telephone_number": "702-250-8641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LINDA",
"middle_name": "LORRAINE",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-08",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024164799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "WILLIAMS-MITCHAM",
"middle_name": "LORRAINE",
"prefix": "MS.",
"credential": "NP",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.