Organization Active NPI

Diana G Masker and Associates Inc

  • Speech-Language Pathologist
  • Melbourne, FL
National Provider Identifier
1003067109
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 3134 Issued in FL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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., CCCNPI 1770593782
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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
891929100MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.