Nathaniel Q Matis

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

14222693-4810 Issued in UT

Practice address

930 S 500 E
Heber City, UT 84032-4455

Phone

(435) 649-7640

NPI assigned

Jun 16, 2025

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1619863594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 S 500 E",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840324455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S 500 E",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840324455",
            "telephone_number": "435-649-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIS",
        "first_name": "NATHANIEL",
        "middle_name": "Q",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "UT",
            "license": "14222693-4810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Martins Machado, PA-C
• Kevin Mandala, DPT
• Dylan Mansfield, HIS-INTERN
• Marci Heugly CMHC LLC
• Ashley Karen Mathis, MS, RDN, CD
• Rolayne G Mattsson, RPT
• Katherine Matushek, APRN
• Janine Maurice, R.T.(R)(CT)
• Jeremiah J Maxwell, CST
• Tyler D May, DDS

• Athletic Trainer in Heber City, UT
• Providers in Heber City, UT by specialty
• Athletic Trainer in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.