Individual provider Active NPI

Alexis Mattson, CNA

  • Nurse's Aide
  • Laughlin, NV
National Provider Identifier
1245126945
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
1906598845 Issued in NV
Practice address
3100 S Needles Hwy Ste 500
Laughlin, NV 89029-0815
Phone
(702) 868-1400
NPI assigned
Jun 17, 2025
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 1906598845 NV Primary

Addresses

Primary practice location

3100 S Needles Hwy Ste 500
Laughlin, NV 89029-0815

Mailing address

746 E Winchester St Ste 200
Murray, UT 84107-8513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1906598845NVMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Nevada LLC CurrentSince Jun 23, 2025 Accepting new patients
Canyon Nevada LLC CurrentSince Jun 23, 2025 Accepting new patients

Locations

3100 S Needles Hwy
Ste 500
Laughlin, NV 89029
Phone (702) 703-1262

746 E Winchester St
Ste 200
Salt Lake City, UT 84107

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1245126945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 E WINCHESTER ST STE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S NEEDLES HWY STE 500",
            "city": "LAUGHLIN",
            "state": "NV",
            "postal_code": "890290815",
            "telephone_number": "702-868-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "ALEXIS",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NV",
            "license": "1906598845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laughlin, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.