NPI Code Detail JSON Logo

1184552127 NPI number — REYNALD CHARLES WILLIAMS

NPI Number: 1184552127
Health Care Provider/Practitioner: REYNALD CHARLES WILLIAMS

Information about “1184552127” NPI (REYNALD CHARLES WILLIAMS) exists in 1184552127 in HTML format HTML  |  1184552127 in plain Text format TXT  |  1184552127 in PDF (Portable Document Format) PDF  |  1184552127 in an XML format XML  formats.

NPI Number : 1184552127 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184552127",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILLIAMS",
    "FirstName": "REYNALD",
    "MiddleName": "CHARLES",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5212 YELLOW DAWN CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89130-1590",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "702-371-4541",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2820 W CHARLESTON BLVD # D41",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89102-1942",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "702-742-1500",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/11/2026",
    "LastUpdateDate": "05/11/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "CI5717",
        "LicenseNumberStateCode": "NV",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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