Active NPI
Meredith Masin, RN, BSN
- Registered Nurse
- Saint Louis, MO
National Provider Identifier
1104480680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2008022127
- Practice address
- 12655 Olive Blvd FL 4
Saint Louis, MO 63141-6291 - Phone
- (314) 851-1000
- Fax
- (314) 851-4445
- NPI assigned
- Apr 30, 2019
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2008022127 | MO | Primary |
Addresses
Primary practice location
12655 Olive Blvd FL 4
Saint Louis, MO 63141-6291
Mailing address
PO Box 23340
Saint Louis, MO 63156-3340
Phone (314) 851-1000
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)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008022127 | MO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1104480680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23340",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631563340",
"telephone_number": "314-851-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12655 OLIVE BLVD FL 4",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416291",
"telephone_number": "314-851-1000",
"fax_number": "314-851-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASIN",
"first_name": "MEREDITH",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-30",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2008022127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.