ALLISON MARIE MATTILA (NPI# 1861680241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861680241 |
| Entity Type | Individual |
| Full Name | ALLISON MARIE MATTILA |
| Credential | DNP |
| Practice Address |
3131 La Canada St Suite 101 Las Vegas NV 89169-2578 |
| Practice Telephone | 7027318115 |
| Practice Fax Number | 7027847844 |
| Mailing Telephone | 7027318115 |
| Mailing Fax Number | 7027847844 |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2014-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APN001474 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | FQHC MEDICAID | 231893 | 01 |
| FQHC MEDICARE | 38-1852 | 01 | |
| OR | 242060 | 05 |
| Street Address |
3131 LA CANADA ST SUITE 101 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89169-2578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245216605 | Jayram Krishnan | Urology | 3131 La Canada St, Suite 217, Las Vegas, NV 89169-2578 | 2005-12-19 |
| 1609292416 | Keisha Stevenson | Nurse Practitioner | 3131 La Canada St, 241, Las Vegas, NV 89169-2578 | 2014-03-17 |
| 1316212806 | Jaclyn Grace Rykal | Audiologist | 3131 La Canada St, Las Vegas, NV 89169-2578 | 2012-03-15 |
| 1114222551 | Amy Martine Pfeiffer | Nurse Practitioner | 3131 La Canada St, Suite 200, Las Vegas, NV 89169-2578 | 2011-01-16 |
| 1851625958 | Urvi H Patel | Pharmacist | 3131 La Canada St, Las Vegas, NV 89109 | 2009-09-23 |
| 1730321100 | Jacob L Snow | Pediatrics | 3131 La Canada St, Suite 244, Las Vegas, NV 89169-2578 | 2009-04-01 |
| 1275772006 | Carolyn Laurice Jefferson Cornelius | Obstetrics & Gynecology | 3131 La Canada St, Suite 241, Las Vegas, NV 89169-2578 | 2009-02-18 |
| 1922245281 | Tiffany Wan | Dietitian, Registered | 3131 La Canada St, Las Vegas, NV 89169-2578 | 2009-01-08 |
| 1861644072 | Erica Jill Filby | Pharmacist | 3131 La Canada St, Las Vegas, NV 89169-2578 | 2008-10-21 |
| 1366690141 | Tamara Majic | Psychiatry & Neurology | 3131 La Canada St, Suite 101, Las Vegas, NV 89169-2578 | 2008-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038196 | Tammy E Smith | Home Health | 1500 Karen Ave, 65, Las Vegas, NV 89169 | 2020-09-16 |
| 1457978561 | Damon Lavell Cohran | Counselor | 459 Sierra Vista Dr, 32, Las Vegas, NV 89169 | 2020-07-06 |
| 1912543307 | Josephine R Hernandez | Rehabilitation Practitioner | Firstmed Health and Wellness Center Inc., 3343 S. Eastern Avenue, Las Vegas, NV 89169 | 2019-11-21 |
| 1528602174 | Cindy Pena Jaramillo | Technician | 3376 S. Eaatern Ave, Las Vegas, NV 89169 | 2019-11-06 |
| 1497309967 | Richard Snarr Worthen | Technician | 3175 South Eastern Ave, Las Vegas, NV 89169 | 2019-08-01 |
| 1447718796 | Hope Industries LLC | Chore Provider | 1711 E Desert Inn Rd, Las Vegas, NV 89169 | 2019-03-06 |
| 1609345321 | Diaz Health LLC | Community/Behavioral Health | 5225 West 2nd Street, Las Vegas, NV 89169 | 2018-11-26 |
| 1902371024 | Kevin Burnett | Technician | 1100 Dunmont Apt 202, Las Vegas, NV 89169 | 2018-10-04 |
| 1659865111 | Kimberly Jackson-hampton | Counselor | 335 E Harmon Ave Apt 30, Las Vegas, NV 89169 | 2018-06-19 |
| 1093216350 | Blessed Services LLC | Community/Behavioral Health | 2525 White Street, Las Vegas, NV 89169 | 2018-02-22 |
| Find all providers in zip 89169 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292381 | Chs Caring Providers | Nurse Practitioner | 2330 Paseo Del Prado Ste C201, Las Vegas, NV 89102-4376 | 2020-10-15 |
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| 1639782493 | 4 Life Mental and Wellness Health | Nurse Practitioner | 3430 E Flamingo Rd Ste 140, Las Vegas, NV 89121-5003 | 2020-08-30 |
| 1861018236 | Kikina Wong | Nurse Practitioner | 8234 Violet Meadow Ct, Las Vegas, NV 89117-7607 | 2020-06-22 |
| 1306462742 | Total Care Medical Group LLC | Nurse Practitioner | 6040 S Durango Dr Ste 115, Las Vegas, NV 89113-1792 | 2020-06-22 |
| 1588286124 | Simrit Kaur Saraon Msn Pllc | Nurse Practitioner | 4604 Erin Glen St, Las Vegas, NV 89147-7253 | 2020-05-16 |
| 1730709577 | Michelle Cappatocio | Nurse Practitioner | 5270 S Fort Apache Rd Ste 330, Las Vegas, NV 89148-1726 | 2020-04-22 |
| 1992338800 | Kristen E Anderson | Nurse Practitioner | 9280 W Sunset Rd Ste 312, Las Vegas, NV 89148-4862 | 2020-02-19 |
| 1275172173 | Joan Lou Paras Nakar | Nurse Practitioner | 9793 Dakota Creek Ct, Las Vegas, NV 89141 | 2019-12-26 |
| 1972149102 | Mobile Medical Group LLC | Nurse Practitioner | 400 Shadow Ln Ste 210, Las Vegas, NV 89106-4358 | 2019-11-22 |
| Find all providers in LAS VEGAS | ||||
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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.