Individual provider Active NPI

Michelle Maratas Webb, CHW1

  • Community Health Worker
  • Las Vegas, NV
National Provider Identifier
1891502308
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
CHW1-5965 Issued in NV
Practice address
2915 W Charleston Blvd Ste 190
Las Vegas, NV 89102-1978
Phone
(626) 598-6748
NPI assigned
Dec 17, 2024
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X CHW1-5965 NV Primary

Addresses

Primary practice location

2915 W Charleston Blvd Ste 190
Las Vegas, NV 89102-1978

Mailing address

11700 W Charleston Blvd # 170-487
Las Vegas, NV 89135-1573
Phone (562) 394-3746

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

LicenseStateTypeSpecialty
CHW1-5965NVMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1891502308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 W CHARLESTON BLVD # 170-487",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351573",
            "telephone_number": "562-394-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 W CHARLESTON BLVD STE 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021978",
            "telephone_number": "626-598-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "MICHELLE",
        "middle_name": "MARATAS",
        "credential": "CHW1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NV",
            "license": "CHW1-5965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.