Anthony Germaine Smith, CHW II/ PRSS

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

CHW2-5096 Issued in NV

Practice address

4948 Mountain Vista St Unit 20543
Las Vegas, NV 89112-8104

Phone

(702) 929-5711

NPI assigned

Nov 29, 2024

Last updated

Nov 2, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1732838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762041600000",
    "number": "1538985049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4948 MOUNTAIN VISTA ST UNIT 20543",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891128104",
            "telephone_number": "702-929-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4948 MOUNTAIN VISTA ST UNIT 20543",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891128104",
            "telephone_number": "702-929-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANTHONY",
        "middle_name": "GERMAINE",
        "name_prefix": "Mr.",
        "credential": "CHW II/ PRSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-29",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NV",
            "license": "CHW2-5096",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NV",
            "license": "PRSS-5160",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NV",
            "license": "PRSS-SUP-5142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Smith
• Angela Smith
• Angela Smith
• Ann Elvira Power Smith, PHD, BCBA, LBA
• Ann R Smith
• Antionette Smith
• Antoinette Smith
• Antoinette Smith
• Antonette Denise Smith
• Antonio Smith

• Community Health Worker in Las Vegas, NV
• Providers in 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 Nov 2, 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.