Active NPI
Tina Williams
- Reflexologist
- North Las Vegas, NV
National Provider Identifier
1497574131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reflexologist
- License
- N-48665
- Practice address
- 3265 W Lake Mead Blvd Unit 1109
North Las Vegas, NV 89032-4906 - Phone
- (702) 525-5744
- NPI assigned
- Oct 9, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Reflexologist | 173C00000X | N-48665 | NV | Primary |
Addresses
Primary practice location
3265 W Lake Mead Blvd Unit 1109
North Las Vegas, NV 89032-4906
Mailing address
3265 W Lake Mead Blvd Unit 1348
North Las Vegas, NV 89032-4911
Phone (775) 292-0796
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 |
|---|---|---|---|
| N-48665 | NV | MD | Reflexologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1497574131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3265 W LAKE MEAD BLVD UNIT 1348",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890324911",
"telephone_number": "775-292-0796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3265 W LAKE MEAD BLVD UNIT 1109",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890324906",
"telephone_number": "702-525-5744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-09",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "NV",
"license": "N-48665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.