Stanisha Diane Pryor

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

CHW1-5646 Issued in NV

Practice address

6330 Whispering Creek St
Las Vegas, NV 89148-5720

Phone

(702) 268-9991

NPI assigned

Jan 26, 2024

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

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": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1912769688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 WHISPERING CREEK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485720",
            "telephone_number": "702-268-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 WHISPERING CREEK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485720",
            "telephone_number": "702-268-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "STANISHA",
        "middle_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NV",
            "license": "0028",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NV",
            "license": "CHW1-5646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Pryor, RBT
• Kanton Pryor
• Nathaniel Paul Pryor, PT, DPT
• Patrischka Pryor
• Phillip Loren Pryor Jr.
• Samantha Jeanne Przybelski, DO
• Samantha Heather Przybylski
• Psalms 91
• Psyantics Mental Health LLC
• Psych Connections LLC

• 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 May 30, 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.