Sage Alexander Williams

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

9745 Grand Teton Dr Unit 89166
Las Vegas, NV 89166-1017

Phone

(702) 517-0336

NPI assigned

Mar 15, 2018

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1710480843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6384 COVENANT CREST CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891311300",
            "telephone_number": "702-476-5058",
            "fax_number": "702-476-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9745 GRAND TETON DR UNIT 89166",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891661017",
            "telephone_number": "702-517-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SAGE",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roshon Williams
• Roxi Williams
• Ruby Williams
• Sabrina Williams
• Sade Williams
• Samantha M Williams
• Sasha Williams
• Sean Williams, D.O.
• Sean Lamar Williams, B.S
• Seth Williams

• Adult Companion in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Companion in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.