Rachel Beth Mason, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

307458 Issued in NY

Practice address

33407 County Route 46
Theresa, NY 13691-2067

Phone

(315) 955-5935

NPI assigned

May 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1063771772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18708 MINKLER RD",
            "city": "ADAMS CENTER",
            "state": "NY",
            "postal_code": "136063134",
            "telephone_number": "561-818-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33407 COUNTY ROUTE 46",
            "city": "THERESA",
            "state": "NY",
            "postal_code": "136912067",
            "telephone_number": "315-955-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "RACHEL",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "307458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Degroat, LPN
• Ellen Norma Denise Gill
• Kristina Green, M.A., CCC-SLP
• Kathleen Ann Hilyer, LPN
• Theresa Leeson, RN
• Pablo Otero, RN
• Amy Lynn Petrie, LPN
• Todd C Reed, LPN
• Chanelle Juanita Savage
• Amanda Leigh Smith, PA-C

• Licensed Practical Nurse in Theresa, NY
• Providers in Theresa, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.