MS. TANYA M MATA (NPI# 1295785038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295785038 |
| Entity Type | Individual |
| Full Name | MS. TANYA M MATA |
| Credential | NP |
| Practice Address |
2865 Siena Heights Dr Suite 331 Henderson NV 89052-4167 |
| Mailing Address |
Po Box 98978 Las Vegas NV 89193-8978 |
| Practice Telephone | 7024070110 |
| Practice Fax Number | 7024070133 |
| Mailing Telephone | 7022163356 |
| Mailing Fax Number | 7026716883 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2013-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APN001121 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1295785038 | 05 |
| Street Address |
2865 SIENA HEIGHTS DR SUITE 331 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-4167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790331072 | Tasha Sannar | Nurse Practitioner | 2865 Siena Heights Dr, Henderson, NV 89052-4167 | 2019-08-13 |
| 1558860890 | Fkf Group Hc LLC | Clinic/Center | 2865 Siena Heights Dr, Henderson, NV 89052-4167 | 2018-02-01 |
| 1912245473 | Brittany Ann Markman Williamson | Physician Assistant | 2865 Siena Heights Dr, #331, Henderson, NV 89052-4167 | 2013-01-17 |
| 1003166455 | Achilles Foot and Ankle Specialist Pllc | Podiatrist | 2865 Siena Heights Dr, Suite 200, Henderson, NV 89052-4167 | 2012-09-13 |
| 1659661031 | Raphael Paulin Rhino II | Specialist/Technologist, Other | 2865 Siena Heights Dr, 200, Henderson, NV 89052-4167 | 2011-04-19 |
| 1710282686 | St Michaels Labs Las Vegas Inc | Clinical Medical Laboratory | 2865 Siena Heights Dr, Suite 200, Henderson, NV 89052-4167 | 2011-01-24 |
| 1053614644 | Barrett Foot and Ankle Centers Las Vegas | Clinic/Center | 2865 Siena Heights Dr, Suite 200, Henderson, NV 89052-4167 | 2010-12-21 |
| 1912225558 | Allied Hand & Orthopedics Las Vegas | Surgery | 2865 Siena Heights Dr, Henderson, NV 89052-4167 | 2010-05-06 |
| 1073844320 | Allied Center for Special Surgery, Las Vegas, LLC | Clinic/Center | 2865 Siena Heights Dr, Henderson, NV 89052-4167 | 2010-01-27 |
| 1306084348 | Doreen Joy Kibby | Physician Assistant | 2865 Siena Heights Dr, Suite 331-a, Henderson, NV 89052-4167 | 2009-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497306112 | Evexia Adult and Geriatrics Medical Clinic Pllc | Nurse Practitioner | 1004 Dabney Dr, Henderson, NC 27536-3565 | 2019-09-24 |
| 1902460967 | Donnene Denise Ratkiewicz | Nurse Practitioner | 1589 Peaceful Pine St, Henderson, NV 89052-3154 | 2019-04-25 |
| 1699204735 | Anna Smith | Nurse Practitioner | 1032 Secluded Acres Ct, Henderson, NV 89002-9225 | 2017-06-11 |
| 1770955270 | Leslie Hunter-johnson | Nurse Practitioner | 504 Heritage Bridge Ave, Henderson, NV 89011-2670 | 2015-10-22 |
| 1396138145 | Community Healthcare Clinic, LLC | Nurse Practitioner | 1421 Henderson Highway, Henderson, LA 70517 | 2015-03-17 |
| 1619978467 | Deborah Myers | Nurse Practitioner | 1365 Dragon Rock Dr, Henderson, NV 89052-4041 | 2005-08-02 |
| 1699332015 | John Ray Torres | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2019-05-21 |
| 1962982728 | Dina Alzadon | Nurse Practitioner | 100 N Green Valley Pkwy Ste 240, Henderson, NV 89074-7704 | 2018-08-20 |
| 1740727007 | Hannah Furney | Nurse Practitioner | 10001 S Eastern Ave, Suite #108, Henderson, NV 89052 | 2017-01-25 |
| 1154875979 | Freddy Hernan Espinosa | Nurse Practitioner | 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2016-08-10 |
| Find all providers in HENDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.