Jennifer Jean Mason, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

716307 Issued in MN

Practice address

11939 River Hills Dr
Burnsville, MN 55337-1354

Phone

(651) 246-1318

Fax

(651) 246-1318

NPI assigned

Dec 14, 2017

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Metro Treatment of Minnesota LP

  • Methadone Clinic
  • Burnsville, MN
  • NPI 1497961759
  NPD (past)

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1083120935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11939 RIVER HILLS DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371354",
            "telephone_number": "952-890-4480",
            "fax_number": "952-890-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11939 RIVER HILLS DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371354",
            "telephone_number": "651-246-1318",
            "fax_number": "651-246-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "JENNIFER",
        "middle_name": "JEAN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "716307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ikran Maruf
• Ishwaq Maruf
• Isabella Marullo
• Eric Raymond Marvin
• Jennifer Mason, MA
• Ella Rae Masser
• Jersey Masurka
• Lydia Grace Maternoski
• Nessa Elyssa Mathew
• Jeffrey Ryan Mathews, PT

• Licensed Practical Nurse in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Licensed Practical Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; 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.