Active NPI
Nathan M Mason, ARNP
- Family Nurse Practitioner
- Yuma, AZ
National Provider Identifier
1063453173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30004609
- Practice address
- 2730 S Avenue B
Yuma, AZ 85364-6903 - Phone
- (928) 344-9166
- Fax
- (928) 344-9168
- NPI assigned
- Jun 9, 2006
- Last updated
- Dec 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30004609 | WA | Primary |
| Family Nurse Practitioner | 363LF0000X | AP2310 | AZ |
Addresses
Primary practice location
2730 S Avenue B
Yuma, AZ 85364-6903
Mailing address
9840 E Leavenworth Rd
Leavenworth, WA 98826-9313
Phone (509) 548-7987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9623687 | Medicaid | WA |
Other names 1
- Nick Mason
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30004609 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinic at Royal City | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Non-Pharmacy Dispensing Site
- Royal City, WA
- NPI 1962586503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198454400000",
"number": "1063453173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9840 E LEAVENWORTH RD",
"city": "LEAVENWORTH",
"state": "WA",
"postal_code": "988269313",
"telephone_number": "509-548-7987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 S AVENUE B",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646903",
"telephone_number": "928-344-9166",
"fax_number": "928-344-9168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "NATHAN",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2007-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30004609",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP2310",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9623687",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NICK",
"last_name": "MASON",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.