Mater Academy of Nevada

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MATER ACADEMY OF NEVADA

Practice address

3900 E Bonanza Rd
Las Vegas, NV 89110-2167

Phone

(775) 470-8950

NPI assigned

May 17, 2022

Organization subpart

No

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

Authorized official

Name

Crystal Thiriot

Title

Director of Special Projects

Phone

(702) 423-3348

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1730826124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 E BONANZA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891102167",
            "telephone_number": "775-470-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 E BONANZA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891102167",
            "telephone_number": "775-470-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATER ACADEMY OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "THIRIOT",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL PROJECTS",
        "authorized_official_telephone_number": "702-423-3348"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florence Alice Mateo
• Kyle Mateo
• Maritess Mateo
• Andrea Mateos
• Joshua Mateos
• Maternal Minds Counseling
• Arutyun Matevosyan
• Elvira Matevosyan
• Tamara Matevosyan
• Richard Joseph Mateyka, PA-C

• Local Education Agency (LEA) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Local Education Agency (LEA) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.