Active NPI
Aw Family Health Clinic LLC
- Primary Care Nurse Practitioner
- La Place, LA
National Provider Identifier
1992644934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- AW FAMILY HEALTH CLINIC LLC
- Practice address
- 633 Magnolia Ave
La Place, LA 70068-3040 - Phone
- (718) 362-1411
- Fax
- (718) 362-1651
- NPI assigned
- Mar 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tashiba Williams
- Title
- NP/Owner
- Phone
- (718) 362-1411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
633 Magnolia Ave
La Place, LA 70068-3040
Mailing address
612 Corporate Way Ste 2M
Valley Cottage, NY 10989-2027
Phone (718) 362-1411
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774483200000",
"number": "1992644934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 CORPORATE WAY STE 2M",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109892027",
"telephone_number": "718-362-1411",
"fax_number": "718-362-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 MAGNOLIA AVE",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700683040",
"telephone_number": "718-362-1411",
"fax_number": "718-362-1651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AW FAMILY HEALTH CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-26",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "TASHIBA",
"authorized_official_title_or_position": "NP/OWNER",
"authorized_official_telephone_number": "718-362-1411"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Place, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.