Fe Mati Fe

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

852696 Issued in NV

Practice address

801 S Rancho Dr Ste A2
Las Vegas, NV 89106-3870

Phone

(702) 483-3630

NPI assigned

Mar 4, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vista Health Mirza MD PCGroup PAC ID 6800054792, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Vista Health Mirza MD PC

  • Cardiovascular Disease Physician
  • Fort Mohave, AZ
  • NPI 1033393194

  Multi-Specialty, NV

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1558018010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 DESERT SPRING RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891496621",
            "telephone_number": "702-739-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S RANCHO DR STE A2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063870",
            "telephone_number": "702-483-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FE",
        "first_name": "FE",
        "middle_name": "MATI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "852696",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "852696",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "852696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Faz
• Arsalan Fazal, M.D.
• Karl C Fazekas, M.D.
• Ananda Fcachenco
• FDV Wellness Center (Fuente de Vida)
• Maria Fe
• Lyudmila Feagans
• Lakesha Feagin
• Calvin Feagins
• Lisa Fear

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.