MR. IAN MAXWELL MATTHEWS APRN NPI 1467000240

Nurse Practitioner (Psychiatric/Mental Health) in Las Vegas, NV

Individual Male Nurse Practitioner Psychiatric/Mental Health PECOS Enrolled

About IAN MATTHEWS

Ian Matthews is a provider established in Las Vegas, Nevada and his medical specialization is nurse practitioner. The NPI number of Ian Matthews is 1467000240 and was assigned on August 2019. The practitioner's primary taxonomy code is 363LP0808X with license number APRN-CNP824041 (NV). The provider is registered as an individual and his NPI record was last updated September 2019. Ian Matthews is enrolled in PECOS.

NPI

1467000240

Provider NameMR. IAN MAXWELL MATTHEWS APRN
Provider Location Address3201 S MARYLAND PKWY STE 318 LAS VEGAS, NV 89109
Provider Mailing Address3201 S MARYLAND PKWY STE 318 LAS VEGAS, NV 89109
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-26-2019
Last Update Date09-01-2019

Primary Taxonomy

Taxonomy Code363LP0808X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationPsychiatric/Mental Health
License No.APRN-CNP824041
License StateNV

Business Address

MR. IAN MAXWELL MATTHEWS APRN
3201 S MARYLAND PKWY STE 318
LAS VEGAS, NV
ZIP 89109
Phone: (702) 629-7490
Fax: (702) 629-7685

Get Directions

Mailing Address

MR. IAN MAXWELL MATTHEWS APRN
3201 S MARYLAND PKWY STE 318
LAS VEGAS, NV
ZIP 89109
Phone: (706) 421-3400
Fax: (702) 629-7685

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1163W00000XNursing Service ProvidersRegistered NurseRN95184NVNo

Taxonomy Description: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

2163W00000XNursing Service ProvidersRegistered Nurse95171771CANo

Taxonomy Description: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922051846DR. AKINDELE E KOLADE M.D.
Individual
Psychiatry & Neurology (Psychiatry)3201 S MARYLAND PKWY STE 318
LAS VEGAS, NV 89109
(702) 629-7490

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Previous NPI
1467000232
Next NPI
1467000257