Individual provider Active NPI

Mary-K Cheyenne Masters, APRN-CNP

  • Primary Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1003727215
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1062675 Issued in TX
Practice address
3501 Junius St
Dallas, TX 75246-2021
Phone
(214) 820-3830
NPI assigned
Sep 15, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1062675 TX
Gerontology Nurse Practitioner 363LG0600X 1062675 TX
Primary Care Nurse Practitioner 363LP2300X 1062675 TX Primary

Addresses

Primary practice location

3501 Junius St
Dallas, TX 75246-2021

Mailing address

3501 Junius St Ste 14
Dallas, TX 75246-2021
Phone (214) 820-3830

Other practice location 1

3604 Live Oak St Ste 100
Dallas, TX 75204-6182
Phone (214) 366-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1003727215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 JUNIUS ST STE 14",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462021",
            "telephone_number": "214-820-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 JUNIUS ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462021",
            "telephone_number": "214-820-3830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3604 Live Oak St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752046182",
            "country_code": "US",
            "telephone_number": "214-366-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "MARY-K",
        "middle_name": "CHEYENNE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1062675",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1062675",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1062675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.