Active NPI
Kazlin Mason, M.S. CCC-SLP
- Speech-Language Pathologist
- Greenville, NC
National Provider Identifier
1033500558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11124
- Practice address
- 600 Moye Blvd
Ecu Physicians Speech Language Pathology
Greenville, NC 27834-4300 - Phone
- (252) 744-6104
- NPI assigned
- Feb 6, 2015
- Last updated
- May 12, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11124 | NC | Primary |
Addresses
Primary practice location
600 Moye Blvd
Ecu Physicians Speech Language Pathology
Greenville, NC 27834-4300
Mailing address
PO Box 751069
Ecu Physicians
Charlotte, NC 28275-1069
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033500558 | Medicaid | NC | |
| 19A2W | Other | NC | BCBS NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rector & Visitors of the University of Virginia | Current | Accepting new patients | |
| Rector & Visitors of the University of Virginia | Current | Accepting new patients | |
| Rector & Visitors of the University of Virginia | Speech-Language Pathologist | Current | Accepting new patients |
Locations
417 Emmet St S
Charlottesville, VA 22903
Phone (434) 924-7034
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UVA Health Sciences Center
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
-
- Community/Retail Pharmacy
- Charlottesville, VA
- NPI 1790399202
-
dba UVA Speech Language Hearing Center
- Speech-Language Pathologist
- Charlottesville, VA
- NPI 1992770051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431388800000",
"number": "1033500558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751069",
"address_2": "ECU PHYSICIANS",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MOYE BLVD",
"address_2": "ECU PHYSICIANS SPEECH LANGUAGE PATHOLOGY",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278344300",
"telephone_number": "252-744-6104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "KAZLIN",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-06",
"last_updated": "2015-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "11124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033500558",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "19A2W",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.