Organization Active NPI

Machuca Family Medicine at Jones

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1104356138
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MACHUCA FAMILY MEDICINE AT JONES
Practice address
6110 Elton Ave
Las Vegas, NV 89107-2538
Phone
(702) 906-2976
Fax
(702) 906-2977
NPI assigned
Jun 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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

Authorized official

Name
Maria Machuca, APRN
Title
Aprn
Phone
(702) 906-2976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6110 Elton Ave
Las Vegas, NV 89107-2538

Mailing address

6110 Elton Ave
Las Vegas, NV 89107-2538
Phone (702) 906-2976

National Provider Directory

National Provider Directory
Tax ID family
Machuca Family Medicine at Jones2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497312000000",
    "number": "1104356138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 ELTON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072538",
            "telephone_number": "702-906-2976",
            "fax_number": "702-906-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 ELTON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072538",
            "telephone_number": "702-906-2976",
            "fax_number": "702-906-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACHUCA FAMILY MEDICINE AT JONES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A",
        "authorized_official_last_name": "MACHUCA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "702-906-2976",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.