Sherill Banks-Maddox

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

431 S 6TH St
Las Vegas, NV 89101-6915

Phone

(702) 762-5633

Fax

(702) 749-7844

NPI assigned

Jan 14, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Move Project Inc

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1649890344
  NPD Authorized official
• The M O V E Project Inc

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1356730436
  NPD

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1720477755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 W. OWENS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-749-7444",
            "fax_number": "702-749-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 S 6TH ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016915",
            "telephone_number": "702-762-5633",
            "fax_number": "702-749-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS-MADDOX",
        "first_name": "SHERILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720477755",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marian Banh
• Alana Banico
• Heade A Banievicz
• Maegan A Baniwas
• Beth Ann Banker
• Allexia Banks
• Alma Banks
• Amy Banks
• Angel Desire Banks
• Angela Starr Banks

• 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 Apr 24, 2020; 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.