Active NPI
Diana G Masker and Associates Inc
- Speech-Language Pathologist
- Melbourne, FL
National Provider Identifier
1003067109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 3134
- Legal business name
- DIANA G MASKER AND ASSOCIATES INC
- Practice address
- 3040 N Wickham Rd Ste 4
Melbourne, FL 32935-2369 - Phone
- (321) 751-1443
- Fax
- (321) 751-1448
- NPI assigned
- Oct 7, 2008
- Last updated
- Oct 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Diana G Masker, M.A., CCC
- Title
- Owner/Speech-Language Pathologist
- Phone
- (321) 751-1443
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 3134 | FL | Primary |
Addresses
Primary practice location
3040 N Wickham Rd Ste 4
Melbourne, FL 32935-2369
Mailing address
3040 N Wickham Rd Ste 4
Melbourne, FL 32935-2369
Phone (321) 751-1443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891929100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
3040 N Wickham Rd
Ste 4
Melbourne, FL 32935
Phone (321) 751-1443
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Speech-Language Pathologist
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- Speech-Language Pathologist
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223337600000",
"number": "1003067109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 N WICKHAM RD STE 4",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329352369",
"telephone_number": "321-751-1443",
"fax_number": "321-751-1448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3040 N WICKHAM RD STE 4",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329352369",
"telephone_number": "321-751-1443",
"fax_number": "321-751-1448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIANA G MASKER AND ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-07",
"last_updated": "2008-10-07",
"status": "A",
"authorized_official_last_name": "MASKER",
"authorized_official_first_name": "DIANA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "321-751-1443",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.A., CCC"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 3134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891929100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.