Maria Matas, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

262111 Issued in AZ

Practice address

3140 N 35TH Ave Ste 7
Phoenix, AZ 85017-5270

Phone

(602) 353-6656

NPI assigned

Nov 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1497410898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 N 35TH AVE STE 7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175270",
            "telephone_number": "602-353-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 N 35TH AVE STE 7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175270",
            "telephone_number": "602-353-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATAS",
        "first_name": "MARIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "262111",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "262111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George James Mata Jr., COTA/L
• Reyna Mata, MA, BCBA
• Xavier Mata, D.M.D., M.S.
• Matai LLC
• Miguel Angel Matamoros
• Tim Matatov, M.D.
• Adelina Matatova, PA-C
• Kaavya Reddy Matatova, MD
• Cynthia Matcha, LPC
• John W. Matchette, PA-C

• Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.