Lien Matos Legra

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

836985 Issued in NV

Practice address

6350 S Durangodrive
Las Vegas, NV 89113

Phone

(702) 790-8000

Fax

(702) 437-0476

NPI assigned

Jan 6, 2023

Last updated

Feb 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NV Always Your Doctor LLCGroup PAC ID 1355874090, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lien.matos.legra.1@15442.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NV Always Your Doctor LLC

  • Adult Medicine Physician
  • Las Vegas, NV
  • NPI 1497597975
  Medicare reassignment Care Compare group NPD
• True Care Health LLC

  dba Nova Vida Health

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1396689246
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1063126803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4436 EUREKA CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033234",
            "telephone_number": "702-205-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 S DURANGODRIVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89113",
            "telephone_number": "702-790-8000",
            "fax_number": "702-437-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS LEGRA",
        "first_name": "LIEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "836985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyeshia Denise Matlock
• Jamal Matni
• Rasha Matni
• Yinet Matos Abreu
• Osvaldo Matos Fuentes
• Daisy Matos Perez
• Barbara Loreta Matos Samon
• Adriana Matos
• Maria Matos
• Yadi Matos

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.